Ampersand Health
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Hospital scorecard · NPI 1346213469

Good Samaritan Hospital

Contracted rates for 10 common outpatient procedures, with the confidence breakdown and methodology disclosure for each.

Procedures

CPT 73721

Knee MRI

case rate · 60% confidence · 3 payers

$1,569

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 70551

Brain MRI

case rate · 59% confidence · 3 payers

$1,537

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.19 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 72148

Lumbar MRI

case rate · 59% confidence · 3 payers

$1,523

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.19 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 74177

Abdominal CT

case rate · 59% confidence · 3 payers

$1,461

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.19 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 45378

Colonoscopy

case rate · 59% confidence · 4 payers

$4,616

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.19 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 43239

Upper endoscopy

case rate · 59% confidence · 4 payers

$4,616

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.19 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 77067

Screening mammogram

case rate · 60% confidence · 3 payers

$289

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 80053

Metabolic panel

case rate · 47% confidence · 1 payer

$22

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.07 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 85025

Complete blood count

case rate · 47% confidence · 1 payer

$16

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.07 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 99213

Office visit

case rate · 60% confidence · 1 payer

$259

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10