Good Samaritan Hospital - Los Angeles
PIH Health
Hospital Overview
Facility Details
CCN
050471
NPI
1508859323
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
404
Contact Information
Address
1225 Wilshire Boulevard
Los Angeles, CA 90017
Phone
(213) 977-2121
Insurance Accepted
💡
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 Recovery Room Range: 0710 - 0719 | Percentage of Bill Charged | |
Aetna | Outpatient | CPT Surgery Range: 10004 - 69990 | Percentage of Bill Charged | |
Aetna | Outpatient | CPT Medicine Services and Procedures Range: 90281 - 99607 | Negotiated | Very High |
Aetna | Facility | RC Specialty Services Range: 0760 - 0769 | Percentage of Bill Charged | |
Aetna | Outpatient | CPT Pathology and Laboratory Procedures Range: 80047 - 89398 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Orthotic Procedures and services Range: L0112 - L4631 | Percentage of Bill Charged | |
Aetna | Inpatient | MS-DRG Diseases & Disorders of the Digestive System Range: 321 - 399 | Negotiated | High |
Aetna | Inpatient | MS-DRG Injuries, Poisonings & Toxic Effects of Drugs Range: 901 - 923 | Negotiated | High |
Aetna | Outpatient | CPT Category III Codes Range: 0042T - 0810T | Negotiated | Very High |
Aetna | Inpatient | MS-DRG Diseases & Disorders of the Ear, Nose, Mouth & Throat Range: 135 - 159 | Negotiated | High |
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