Illinois Department of Public HealthJB Pritzker, Governor
Good Samaritan Surgery Center
MOUNT VERNON,IL | Procedure Room Count: 1 | Operating Room Count: 3
Good Samaritan Surgery Center
7003172
2 Good Samaritan Way Suite 200
MOUNT VERNON, IL 62864
(618) 899-5703
Hospital Transfer Relationships
Revenue
| Measure | Result |
|---|---|
| Percent Revenue Private Pay 01/01/2020 to 12/31/2020 | 6.36% |
| Percent Revenue Private Insurance 01/01/2020 to 12/31/2020 | 77.69% |
| Percent Revenue Other Public Financing 01/01/2020 to 12/31/2020 | 1.04% |
| Percent Revenue Medicare 01/01/2020 to 12/31/2020 | 1.05% |
| Percent Revenue Medicaid 01/01/2020 to 12/31/2020 | 13.86% |
Services
Patients and Median Charge
This section shows the number of patients visiting this facility for certain conditions or procedures. IDPH used data provided by the facilities to calculate the charges. Your billable amount may vary greatly; always consult your physician or patient advocate.
All measures below are calculated for adults unless otherwise specified.
| Major Diagnosis | Patients | Median Charge |
|---|---|---|
Notes:
| ||
| Arthroscopy 10/01/2019 to 09/30/2020 | 46  | $24,366.00 |
| Bunionectomy 10/01/2019 to 09/30/2020 | too few cases | too few cases |
| Cardiac Catheterization 10/01/2019 to 09/30/2020 | N/A | N/A |
| Colonoscopy 10/01/2019 to 09/30/2020 | 239 | $4,926.00 |
| Tonsillectomy 10/01/2019 to 09/30/2020 | 92 | $6,966.00 |
| Knee Cartilage Excision 10/01/2019 to 09/30/2020 | 66 | $10,098.00 |
| Lesion Excision 10/01/2019 to 09/30/2020 | 39 | $7,571.00 |
| Inguinal Hernia Repair 10/01/2019 to 09/30/2020 | too few cases | too few cases |
| Insertion of catheter or spinal stimulator and inj 10/01/2019 to 09/30/2020 | 48 | $5,579.00 |
| Lens Procedures 10/01/2019 to 09/30/2020 | 278 | $11,223.00 |
| Lumpectomy 10/01/2019 to 09/30/2020 | too few cases | too few cases |
| Other non-OR therapeutic procedures, male genital 10/01/2019 to 09/30/2020 | 12 | $4,815.00 |
| Upper GI Endoscopy 10/01/2019 to 09/30/2020 | 104 | $5,074.00 |
| PTCA 10/01/2019 to 09/30/2020 | N/A | N/A |
| Decompression Peripheral Nerve 10/01/2019 to 09/30/2020 | 220 | $14,268.00 |
| Other Therapeutic Procedures on Muscles and Tendons 10/01/2019 to 09/30/2020 | 208 | $23,242.50 |
| Myringotomy (Pediatric) 10/01/2019 to 09/30/2020 | 86 | $11,272.00 |
| Tonsillectomy (Pediatric) 10/01/2019 to 09/30/2020 | 72 | $7,446.00 |