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Good Samaritan Hospital - San Jose

HCA Healthcare
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Hospital Overview
Facility Details

CCN

050380

NPI

1437103777

Type

Short Term Acute Care Hospital

Ownership

Proprietary

Beds

404

Contact Information

Address

2425 Samaritan Drive

San Jose, CA 95124

Phone

(408) 559-2011

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

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.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Facility

RC

Gastrointestinal Services

Range: 0750 - 0759

Percentage of Bill Charged

Aetna

Facility

RC

Magnetic Resonance Technology (MRT)

Range: 0610 - 0619

Percentage of Bill Charged

Aetna

Facility

RC

Laboratory

Range: 0300 - 0309

Percentage of Bill Charged

Aetna

Outpatient

CPT

Proprietary Laboratory Analyses

Range: 0001U - 0401U

Negotiated

Very High

Aetna

Outpatient

CPT

Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

Aetna

Outpatient

CPT

Surgery

Range: 10004 - 69990

Negotiated

Very High

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Musculoskeletal System & Connective Tissue

Range: 447 - 566

Per Diem

Very High

Aetna

Outpatient

HCPCS

Procedures / Professional Services

Range: G0008 - G9987

Percentage of Bill Charged

Aetna

Facility

RC

Room and Board (3 and 4 beds)

Range: 0130 - 0139

Per Diem

Very High

Aetna

Outpatient

HCPCS

Miscellaneous Medical Services

Range: M0075 - M0301

Percentage of Bill Charged

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