Suffern, NY
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Jun 29, 2026 | Oct 16, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Good Samaritan Hospital’s price for it.
The codes Good Samaritan Hospital has the most pricing samples for.
| Procedure | ||||||
|---|---|---|---|---|---|---|
| Vaginal Delivery Without Sterilization Or D&C Without Cc/MccMS-DRG 807 | $12.8k | $15.2k | $8.7k | 29–56 | $4.1k | $35.9k |
| Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With MccMS-DRG 640 | $37.7k | $33.8k | $17.9k | 21–48 | $1.7k | $71.2k |
| Septicemia Or Severe Sepsis Without Mv >96 Hours Without MccMS-DRG 872 | $29.5k | $27.4k | $14.5k | 6–60 | $1.7k | $56.6k |
| Septicemia Or Severe Sepsis Without Mv >96 Hours With MccMS-DRG 871 | $56.1k | $54.8k | $37.2k | 5–50 | $1.7k | $200.8k |
| Normal NewbornMS-DRG 795 | $3.0k | $4.2k | $2.6k | 4–40 | $1.7k | $10.7k |
| Heart Failure And Shock With MccMS-DRG 291 | $36.2k | $32.9k | $17.0k | 4–40 | $1.7k | $68.5k |
| Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without MccMS-DRG 392 | $22.5k | $20.7k | $10.6k | 4–40 | $1.7k | $41.6k |
| Infectious And Parasitic Diseases With O.R. Procedures With MccMS-DRG 853 | $142.6k | $130.9k | $70.7k | 4–40 | $1.7k | $265.9k |
| Cellulitis Without MccMS-DRG 603 | $25.1k | $23.2k | $12.0k | 4–40 | $1.7k | $46.4k |
| Cesarean Section Without Sterilization With CcMS-DRG 787 | $17.5k | $23.1k | $14.9k | 4–40 | $3.4k | $59.5k |
EIN: 131740104
Last updated: Jun 29, 2026
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Hospital ID: ffa9d83f55206f382c2869e5a937ee9bd78b4ab1409a8fc1638ffc1f2bc628a3