Trinity Health · Greensboro, GA
34
In-network payers
271
Disclosed rate categories
25
Beds
5
Care quality
St Marys Good Samaritan is a 25-bed proprietary hospital in Greensboro, GA, affiliated with Trinity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 271 disclosed rate categories.
CCN (Medicare provider number)
111329
NPI
1346209137
Type
Critical Access Hospital
Ownership
Proprietary
Beds
25
Care Quality
5
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.
The 24 services St Marys Good Samaritan 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.
CT imaging
CPT 74177
$1,102 - $1,689
from 4 insurers · median $1,452
Typical for a hospital with this service line
CT imaging
CPT 70450
$186 - $1,689
from 4 insurers · median $987
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$2,971
negotiated rate
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 · Inpatient
MS-DRG 788
$4,774
negotiated rate
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
Cardiology and vascular testing
CPT 93306
$189 - $1,470
from 4 insurers · median $1,307
Typical for a hospital with this service line
CT imaging
CPT 74176
$364 - $1,689
from 4 insurers · median $1,205
Typical for a hospital with this service line
CT imaging
CPT 71275
$294 - $1,899
from 4 insurers · median $1,082
Typical for a hospital with this service line
Mammography
CPT 77067
$81 - $278
from 4 insurers · median $242
Typical for a hospital with this service line
MRI imaging
CPT 70553
$383 - $2,460
from 4 insurers · median $1,319
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$110 - $191
from 4 insurers · median $169
Typical for a hospital with this service line
MRI imaging
CPT 70551
$346 - $2,137
from 4 insurers · median $1,051
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$349 - $3,629
from 4 insurers · median $893
Typical for a hospital with this service line
MRI imaging
CPT 72148
$346 - $2,137
from 4 insurers · median $908
Typical for a hospital with this service line
Ultrasound
CPT 76705
$128 - $438
from 4 insurers · median $348
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$452 - $3,629
from 3 insurers · median $711
Typical for a hospital with this service line
MRI imaging
CPT 72197
$340 - $2,854
from 4 insurers · median $2,084
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$99 - $461
from 4 insurers · median $410
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$10 - $161
from 4 insurers · median $82
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$311 - $3,629
from 4 insurers · median $452
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$1,117 - $1,952
from 3 insurers · median $1,268
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$4,759
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$147 - $460
from 4 insurers · median $409
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$6,497
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$182 - $855
from 4 insurers · median $760
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 387% | 8 | 1 |
| Insurer B* | 19 | 379% | 17 | 2 |
| Insurer C* | 20 | 239% | 10 | 3 |
| Insurer D* | 19 | 120% | 6 | 13 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 St Marys Good Samaritan.
5401 Lake Oconee Parkway, Greensboro, GA 30642
(706) 453-7331
The nearest hospitals of similar type and size. Their rates are compared with St Marys Good Samaritan for the same insurers and services above.
Morgan Memorial Hospital
▼ Rates typically 18% lower than St Marys Good Samaritan (20 services)
Putnam General Hospital
▼ Rates typically 24% lower than St Marys Good Samaritan (20 services)
Wills Memorial Hospital
▼ Rates typically 10% lower than St Marys Good Samaritan (16 services)
Jasper Memorial Hospital
▼ Rates typically 61% lower than St Marys Good Samaritan (20 services)
Sylvan Grove Hospital
Rates about the same as St Marys Good Samaritan (22 services)
Monroe County Hospital
▼ Rates typically 44% lower than St Marys Good Samaritan (19 services)
Mitchell County Hospital
Medical Center Of Peach County
Optim Medical Center - Tattnall
Brooks County Hospital
About St Marys Good Samaritan's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St Marys Good Samaritan range from $383 to $2,460 across 4 insurers. Cigna's rate is $501. The median at nearby comparable hospitals is $829. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St Marys Good Samaritan range from $1,102 to $1,689 across 4 insurers. Aetna's rate is $1,357. The median at nearby comparable hospitals is $591. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at St Marys Good Samaritan range from $349 to $3,629 across 4 insurers. UnitedHealthcare's rate is $3,629. The median at nearby comparable hospitals is $949. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St Marys Good Samaritan range from $2,971 to $2,971 across 1 insurers. UnitedHealthcare's rate is $2,971. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St Marys Good Samaritan range from $81 to $278 across 4 insurers. Blue Cross Blue Shield's rate is $234. The median at nearby comparable hospitals is $142. What a patient pays depends on their plan's deductible, coinsurance and network status.
St Marys Good Samaritan has 25 beds. Facility type: Critical Access Hospital.
St Marys Good Samaritan is located at 5401 Lake Oconee Parkway, Greensboro, GA 30642. Its main phone number is (706) 453-7331.
St Marys Good Samaritan's CMS Certification Number (CCN), also called its Medicare provider number, is 111329.
The National Provider Identifier (NPI) on file for St Marys Good Samaritan is 1346209137.
St Marys Good Samaritan is affiliated with Trinity Health.
St Marys Good Samaritan lists 34 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
271 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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.
What a review covers