Physician
Surgery
Surgery
MOUNT VERNON, IL
GOOD SAMARITAN REGIONAL HLTH CENTER
ssmhealth.com/locations/illinois/good-samaritan-hospital-mt-vernon
Based on specialty. Actual services may vary — contact the provider's office to confirm.
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope | $9,815 | $1,747 | $1,375 | 11 |
99205 New patient office or other outpatient visit, 60-74 minutes | $1,357 | $213 | $153 | 27 |
45378 Diagnostic exam of large bowel using a flexible endoscope | $1,250 | $180 | $131 | 12 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $1,100 | $165 | $132 | 20 |
99204 New patient office or other outpatient visit, 45-59 minutes | $1,026 | $161 | $117 | 64 |
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $829 | $125 | $98 | 49 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $775 | $119 | $92 | 71 |
99203 New patient office or other outpatient visit, 30-44 minutes | $688 | $108 | $69 | 17 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $551 | $84 | $61 | 75 |
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $505 | $85 | $60 | 29 |
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $435 | $77 | $62 | 26 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.