Good Samaritan Hospital
Good Samaritan Hospital
Hospital Overview
Facility Details
CCN
150042
NPI
1225032881
Type
Short Term Acute Care Hospital
Ownership
Governmental - County
Beds
99
Contact Information
Address
520 South Seventh Street
Vincennes, IN 47591
Phone
(812) 882-5220
Insurance Accepted
Ambetter
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Important Notice
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
Price Transparency Contract Information
The data below comes from CMS-mandated price transparency data. Learn more.
NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
| Payer | Category | Code Type & Group | Contract Type | Rate Compared to State Average |
|---|---|---|---|---|
Aetna | Facility | RC CT Scan Range: 0350 - 0359 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Administrative, Miscellaneous and Investigational Range: A9150 - A9999 | Percentage of Bill Charged | |
Aetna | Facility | RC Anesthesia Range: 0370 - 0379 | Percentage of Bill Charged | |
Aetna | Facility | RC Room and Board Private (one bed) Range: 0110 - 0119 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Matrix for Wound Management (Placental, Equine, Synthetic) Range: A2001 - A2021 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Coronavirus Diagnostic Panel Range: U0001 - U0005 | Negotiated | High |
Aetna | Facility | RC Operating Room Services Range: 0360 - 0369 | Percentage of Bill Charged | |
Aetna | Facility | RC Occupational Therapy Range: 0430 - 0439 | Percentage of Bill Charged | |
Aetna | Facility | RC Speech Therapy Language Pathology Range: 0440 - 0449 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Outpatient PPS Range: C1713 - C9899 | Percentage of Bill Charged |
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