GOOD SAMARITAN MEDICAL CENTER
Acute Care Hospitals
2 out of 5 (CMS)
Emergency Services: Yes
Proprietary
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Procedure Prices at GOOD SAMARITAN MEDICAL CENTER
ROUTINE VENIPUNCTURE
CPT 36415
$0.65
Chest X-Ray (1 view)
CPT 71045
$17.96
Chest X-Ray (2 views)
CPT 71046
$19.04
Thoracic Spine X-Ray
CPT 72072
$34.21
CT Chest
CPT 71250
$34.32
MRI Brain w/o Contrast
CPT 70551
$71.65
CT Abdomen & Pelvis
CPT 74177
$102.03
MRI Joint of Lower Extremity
CPT 73721
$107.48
MRI Brain w/ Contrast
CPT 70553
$134.68
Upper GI Endoscopy w/ Biopsy
CPT 43239
$151.79
INJ FORAMEN EPIDURAL L/S RT
CPT 64483
$163.2
Vaginal Delivery
CPT 59400
$351.7
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.