MEDSTAR GOOD SAMARITAN HOSPITAL

Acute Care Hospitals

3 out of 5 (CMS)

5601 LOCH RAVEN BOULEVARD

BALTIMORE, MD, 21239

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(443) 444-3902

Emergency Services: Yes

Voluntary non-profit - Other

Procedure Prices at MEDSTAR GOOD SAMARITAN HOSPITAL

SPECIMEN COLLECT, VENIPUNCTURE

CPT 36415

$20.68

Chest X-Ray (1 view)

CPT 71045

$92.03

CT Chest

CPT 71250

$144.35

Chest X-Ray (2 views)

CPT 71046

$153.48

Thoracic Spine X-Ray

CPT 72072

$214.86

MRI Joint of Lower Extremity

CPT 73721

$223.49

CT Abdomen & Pelvis

CPT 74177

$248.61

MRI Brain w/o Contrast

CPT 70551

$381.02

Abdominal Ultrasound — Limited

CPT 76705

$552.53

Retroperitoneal Ultrasound

CPT 76770

$675.26

Abdominal Ultrasound

CPT 76700

$705.99

OB Ultrasound

CPT 76805

$798.03

Diagnostic Mammogram (unilateral)

CPT 77065

$798.03

Diagnostic Mammogram (bilateral)

CPT 77066

$1,064.92

MRI Brain w/ Contrast

CPT 70553

$1,084.35

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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.