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Short Term Acute Care HospitalProprietary

Good Samaritan Hospital - Los Angeles

PIH Health ยท Los Angeles, CA

1225 Wilshire Boulevard, Los Angeles, CA 90017(213) 977-2121

33

In-network payers

282

Disclosed rate categories

404

Beds

3

Care quality

About this hospital

Good Samaritan Hospital - Los Angeles is a 404-bed proprietary hospital in Los Angeles, CA, affiliated with PIH Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 282 disclosed rate categories.

CCN (Medicare provider number)

050471

NPI

1508859323

Type

Short Term Acute Care Hospital

Ownership

Proprietary

Beds

404

Care Quality

3

Insurance Accepted

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.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

Prices for common services

The 24 services Good Samaritan Hospital - Los Angeles most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data.

Childbirth ยท Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$12,392 - $13,340

from 4 insurers ยท median $12,767

Aetna$12,392
Insurer A*$12,759
Insurer B*$12,775
Insurer C*$13,340

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth ยท Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$13,940 - $17,422

from 3 insurers ยท median $16,845

Aetna$16,845
Insurer A*$13,940
Insurer B*$17,422

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery ยท Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$27,634 - $40,575

from 4 insurers ยท median $37,867

Aetna$39,186
Insurer A*$27,634
Insurer B*$36,549
Insurer C*$40,575
Medicare $16,209Nearby hospitals $26,14945% above nearby hospitals

27 Medicare discharges for this DRG in CMS hospital data

Childbirth ยท Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$12,392 - $13,340

from 4 insurers ยท median $12,767

Aetna$12,392
Insurer A*$12,759
Insurer B*$12,775
Insurer C*$13,340

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery ยท Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$57,201 - $73,695

from 3 insurers ยท median $72,394

Aetna$72,394
Insurer A*$57,201
Insurer B*$73,695
Medicare $34,341Nearby hospitals $20,929246% above nearby hospitals

12 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery ยท Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$151,706 - $211,353

from 4 insurers ยท median $197,320

Aetna$211,353
Insurer A*$151,706
Insurer B*$185,364
Insurer C*$209,275
Medicare $90,833Nearby hospitals $97,438103% above nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$890 - $1,286

from 2 insurers ยท median $1,088

Anthem / Blue Shield$890
Insurer A*$1,286
Medicare $459Nearby hospitals $84629% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$3,379 - $4,484

from 3 insurers ยท median $3,690

UnitedHealthcare$3,690
Insurer A*$3,379
Insurer B*$4,484
Medicare $1,195Nearby hospitals $3,692In line with nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$8,458 - $9,020

from 3 insurers ยท median $8,735

Aetna$8,735
Insurer A*$8,458
Insurer B*$9,020
Medicare $3,039Nearby hospitals $5,17069% above nearby hospitals

192 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$2,124 - $3,690

from 3 insurers ยท median $3,379

UnitedHealthcare$3,690
Insurer A*$2,124
Insurer B*$3,379
Medicare $1,576Nearby hospitals $3,6928% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$2,119 - $3,690

from 3 insurers ยท median $3,665

UnitedHealthcare$3,690
Insurer A*$2,119
Insurer B*$3,665
Medicare $1,576Nearby hospitals $3,692In line with nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$968 - $2,033

from 2 insurers ยท median $1,500

Aetna$2,033
Insurer A*$968
Medicare $720Nearby hospitals $90666% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT angiography of chest blood vessels

CPT 71275

$966 - $2,718

from 2 insurers ยท median $1,842

Anthem / Blue Shield$2,718
Insurer A*$966
Medicare $231Nearby hospitals $413346% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$3,665 - $4,215

from 3 insurers ยท median $3,690

UnitedHealthcare$3,690
Insurer A*$3,665
Insurer B*$4,215
Medicare $1,225Nearby hospitals $3,692In line with nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$246 - $529

from 3 insurers ยท median $443

Anthem / Blue Shield$529
Insurer A*$246
Insurer B*$443
Medicare $138Nearby hospitals $23390% above nearby hospitals

Common here, based on CMS Medicare volume

Mammography

Screening mammography, bilateral

CPT 77067

$216 - $487

from 3 insurers ยท median $345

Cigna$216
Insurer A*$345
Insurer B*$487
Medicare $119Nearby hospitals $55638% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$640 - $769

from 2 insurers ยท median $704

Anthem / Blue Shield$769
Insurer A*$640
Medicare $314Nearby hospitals $46352% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$4,672 - $17,031

from 4 insurers ยท median $9,062

Aetna$8,310
Insurer A*$4,672
Insurer B*$9,813
Insurer C*$17,031
Medicare $7,962Nearby hospitals $8,5506% above nearby hospitals

Typical for a hospital with this service line

Ear, nose and throat

Diagnostic nasal endoscopy

CPT 31231

$988 - $3,665

from 3 insurers ยท median $1,678

Anthem / Blue Shield$988
Insurer A*$1,678
Insurer B*$3,665
Medicare $263Nearby hospitals $1,12250% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$3,951 - $17,031

from 3 insurers ยท median $6,380

Anthem / Blue Shield$6,380
Insurer A*$3,951
Insurer B*$17,031
Medicare $14,000Nearby hospitals $10,99542% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$792 - $4,268

from 3 insurers ยท median $973

UnitedHealthcare$792
Insurer A*$973
Insurer B*$4,268
Medicare $459Nearby hospitals $79223% above nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI of the brain, without contrast

CPT 70551

$394 - $2,448

from 3 insurers ยท median $923

UnitedHealthcare$394
Insurer A*$923
Insurer B*$2,448
Medicare $314Nearby hospitals $48291% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$6,380 - $16,682

from 3 insurers ยท median $8,735

Anthem / Blue Shield$6,380
Insurer A*$8,735
Insurer B*$16,682
Medicare $7,962Nearby hospitals $10,09413% below nearby hospitals

Typical for a hospital with this service line

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$1,764 - $1,825

from 2 insurers ยท median $1,795

Aetna$1,825
Insurer A*$1,764
Medicare $1,705Nearby hospitals $1,9247% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Good Samaritan Hospital - Los Angeles

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
363%
126
Insurer B*24
302%
118
Insurer C*18
289%
90
Insurer D*6
170%
12

How we chose these services: 3 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Good Samaritan Hospital - Los Angeles.

Location

1225 Wilshire Boulevard, Los Angeles, CA 90017

(213) 977-2121

Get directions

Frequently asked questions

About Good Samaritan Hospital - Los Angeles's rates and hospital price transparency.

How much does an MRI cost at Good Samaritan Hospital - Los Angeles?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Good Samaritan Hospital - Los Angeles range from $792 to $4,268 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $792. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Good Samaritan Hospital - Los Angeles?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Good Samaritan Hospital - Los Angeles range from $890 to $1,286 across 2 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $890. The median at nearby comparable hospitals is $846. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Good Samaritan Hospital - Los Angeles?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Good Samaritan Hospital - Los Angeles range from $2,124 to $3,690 across 3 insurers. UnitedHealthcare's rate is $3,690. The median at nearby comparable hospitals is $3,692. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Good Samaritan Hospital - Los Angeles?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Good Samaritan Hospital - Los Angeles range from $12,392 to $13,340 across 4 insurers. Aetna's rate is $12,392. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Good Samaritan Hospital - Los Angeles?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Good Samaritan Hospital - Los Angeles range from $216 to $487 across 3 insurers. Cigna's rate is $216. The median at nearby comparable hospitals is $556. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Good Samaritan Hospital - Los Angeles?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Good Samaritan Hospital - Los Angeles range from $27,634 to $40,575 across 4 insurers. Aetna's rate is $39,186. The median at nearby comparable hospitals is $26,149. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Good Samaritan Hospital - Los Angeles have?

Good Samaritan Hospital - Los Angeles has 404 beds. Facility type: Short Term Acute Care Hospital.

Where is Good Samaritan Hospital - Los Angeles and what is its phone number?

Good Samaritan Hospital - Los Angeles is located at 1225 Wilshire Boulevard, Los Angeles, CA 90017. Its main phone number is (213) 977-2121.

What is Good Samaritan Hospital - Los Angeles's CCN (Medicare provider number)?

Good Samaritan Hospital - Los Angeles's CMS Certification Number (CCN), also called its Medicare provider number, is 050471.

What is Good Samaritan Hospital - Los Angeles's NPI number?

The National Provider Identifier (NPI) on file for Good Samaritan Hospital - Los Angeles is 1508859323.

For hospital finance and compliance teams

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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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  • Missing, duplicate and outdated charge lines identified
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