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Good Samaritan Hospital

Catholic Health Services of Long Island
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Hospital Overview
Facility Details

CCN

330286

NPI

1902865355

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Church

Beds

437

Contact Information

Address

1000 Montauk Highway

West Islip, NY 11795

Phone

(631) 376-3000

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

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
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💡 The data below comes from CMS-mandated price transparency data. Learn more.

💡 Tip: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Outpatient

HCPCS

Orthotic Procedures and services

Range: L0112 - L4631

Percentage of Bill Charged

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Ear, Nose, Mouth & Throat

Range: 135 - 159

Negotiated

High

Aetna

Outpatient

CPT

Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very High

Aetna

Outpatient

HCPCS

Temporary National Codes (Non-Medicare)

Range: S0012 - S9999

Percentage of Bill Charged

Aetna

Facility

RC

Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X)

Range: 0270 - 0279

Percentage of Bill Charged

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Hepatobiliary System & Pancreas

Range: 402 - 446

Negotiated

Average

Aetna

Outpatient

HCPCS

Outpatient PPS

Range: C1713 - C9899

Negotiated

Low

Aetna

Outpatient

HCPCS

Chemotherapy Drugs

Range: J9000 - J9999

Negotiated

Very Low

Aetna

Facility

RC

Labor Room/Delivery

Range: 0720 - 0729

Percentage of Bill Charged

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Male Reproductive System

Range: 707 - 730

Negotiated

High

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