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Frequently Asked Questions

These are the questions most frequently asked about average charges for procedures performed at Good Samaritan Hospital (GSH).

Click on the question you’re interested in to be taken directly to the answer, or scroll down to see answers to all the questions.


What is an estimated average charge? 
The estimated average charge is an approximate calculation of the total hospital charges for a specific inpatient or outpatient procedure at GSH. As required by law, the hospital’s website lists the mean charge and median charge for the most common inpatient and outpatient procedures. Usual and customary charges for other diagnostic and treatment services are also listed. The estimated charges are meant only as an approximation. They are not intended, nor should they be construed as, a definite or legally binding quote of charges for services to be rendered. The estimated charges do not include physician fees from your surgeon, anesthesiologist, emergency specialist, pathologist, radiologist, or other physicians who may help with your care. They will bill you separately for their services. Please contact those offices directly for charge information.
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Will my bill be different than the estimated average charge provided on this website? 
Your actual charges could be more or less than these estimates, based on the specific factors of your case. Some of these factors include:

  • The need for additional testing, medications, services, or procedures ordered during your care.
  • The procedure planned may not be the procedure performed based on your physician's assessment.
  • Pre-existing health factors such as obesity, diabetes, and smoking may impact your medical needs.
  • If you are insured, the type of insurance you have, and your deductibles or out-of-pocket limits will determine your final bill from GSH.

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What other charges will I owe? 
In addition to your hospital charges, you will receive other bills for physician fees from your surgeon, anesthesiologist, emergency specialist, pathologist, radiologist, or other physicians who may help with your care. Please contact those offices directly for charge information. To assist you, we’ve listed the most frequently requested phone numbers:

Anesthesia Associates                 (937) 293-0247
Physical Medicine Associates      (937) 298-5536
Medical Radiologists, Inc. (937) 296-0253
Samaritan Emergency Corp  (937) 436-4675
North Dayton Pathologists, Inc. (937) 627-7081

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Is the amount I owe the same if I have health insurance? 
The amount you owe depends on the benefits of your insurance plan. If you have health insurance, you should contact your insurance company directly to understand what your financial obligation will be. You may be asked to provide a procedure code, which can be obtained from your physician's office.

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What amount do I owe if I do not have insurance? 
We encourage uninsured patients to contact a financial counselor in Patient Financial Services at (937) 208-2777, or toll-free at 800-544-0630, prior to receiving services at GSH. The financial counselor will help determine if you qualify for Medicaid or any other type of financial assistance. For more information, see our billing policies.

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How much is my co-pay/coinsurance/deductible? 
If you have health insurance and would like to know the amount of any co-payments or deductibles, please contact your health insurance company directly.

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How are charges established for GSH services? 
Charges are generally revised each year on January 1 and are subject to change during the year. The charges reflect many factors, including:

  • The cost of providing staff, equipment, facilities, medications, and other supplies
  • The amount of time our facilities and staff are involved in providing services
  • Insurance company contracts
  • Information provided by the Centers for Medicare and Medicaid Services, the federal agency that manages the Medicare and Medicaid program

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What if the procedure I’m looking for is not on the website? 
Charges for the most common procedures are provided on this website. If you cannot locate the charge information you are looking for, please call the Procedure Price Line at (937) 499-8894. A representative is available to help you from 8:30 a.m. to 4:00 p.m., Monday through Friday.

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Where can I get answers to questions about my bills from Good Samaritan Hospital GSH?
Contact the hospital’s Patient Financial Services Department at (937) 208-2777 or toll free at 800-544-0630. Please have the patient name and account number when you call.

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