Medstar Good Samaritan Hospital — procedure prices

Published prices for 219 procedures at Medstar Good Samaritan Hospital (Baltimore, MD), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $255 $260 $260 $51
Abdominal ultrasound $655 $669 $669 $100
Abscess incision and drainage $1,596 $1,629 $1,629 $174
Albumin blood test $6 $6 $6 $5
Aldosterone test $73 $75 $75 $41
Alkaline phosphatase test $6 $6 $6 $5
Alpha-fetoprotein (AFP) test $44 $45 $45 $17
ALT liver enzyme test $6 $6 $6 $5
Ammonia blood test $59 $60 $60 $15
Amylase test $18 $18 $18 $6
Annual physical (established patient) $253 $258 $258 —
Annual physical (new patient) $253 $258 $258 —
Antinuclear antibody (ANA) test $44 $45 $45 $12
Arterial blood gas (ABG) $91 $93 $93 $26
AST liver enzyme test $6 $6 $6 $5
Barium swallow study $837 $855 $855 $107
Basic metabolic panel $32 $33 $33 $8
Benign skin lesion removal $1,651 $1,685 $1,685 $171
Bilirubin blood test $18 $18 $18 $5
Blood clotting test (PT/INR) $23 $24 $24 $4
Blood crossmatch $23 $24 $24 —
Blood glucose test $12 $12 $12 $5
Blood transfusion $2,117 $2,160 $2,160 $47
Blood type and screen $35 $36 $36 $10
Blood type test $12 $12 $12 $3
BNP (heart failure) test $88 $90 $90 $39
Bone density scan (DEXA) $328 $334 $334 $39
Bone scan (nuclear) $1,267 $1,293 $1,293 $259
Breast biopsy $2,243 $2,289 $2,289 $478
Breast MRI $816 $832 $832 $216
Breast ultrasound $1,092 $1,115 $1,115 $92
Breathing tube insertion (intubation) $126 $129 $129 $133
Burn treatment $1,376 $1,404 $1,404 $129
C-reactive protein (CRP) $44 $45 $45 $5
CA 19-9 tumor marker test $97 $99 $99 $21
CA-125 ovarian marker test $97 $99 $99 $21
Calcium blood test $6 $6 $6 $5
Cardiac MRI $1,142 $1,165 $1,165 $322
Cardiac rehabilitation $187 $191 $191 $26
Cardiac stress test $139 $142 $142 $39
Carotid artery ultrasound $1,365 $1,393 $1,393 $156
CEA tumor marker test $73 $75 $75 $19
Celiac disease test $73 $75 $75 $12
Chemotherapy infusion $695 $709 $709 $81
Chest X-ray $182 $186 $186 $37
Chickenpox (varicella) vaccine $577 $589 $589 —
CK-MB heart enzyme test $44 $45 $45 $12
Clotting time test (PTT) $23 $24 $24 $6
Complete blood count (CBC) $26 $27 $27 $7
Comprehensive metabolic panel $44 $45 $45 $11
Copper blood test $73 $75 $75 $12
Coronary CT angiography $442 $451 $451 $326
Cortisol test $44 $45 $45 $16
COVID-19 PCR test $352 $360 $360 $51
CPAP titration study $606 $619 $619 $69
Creatine kinase (CK) test $18 $18 $18 $7
CT angiography of the chest $307 $313 $313 $281
CT angiography of the head $302 $308 $308 $274
CT colonography (virtual colonoscopy) $936 $955 $955 $835
CT scan of the abdomen $244 $249 $249 $230
CT scan of the abdomen and pelvis $322 $329 $329 $300
CT scan of the arm $278 $284 $284 $199
CT scan of the chest $244 $249 $249 $167
CT scan of the head $156 $159 $159 $148
CT scan of the leg $312 $318 $318 $166
CT scan of the lower back (lumbar spine) $244 $249 $249 $169
CT scan of the neck $244 $249 $249 $183
CT scan of the neck (cervical spine) $244 $249 $249 $168
CT scan of the pelvis $244 $249 $249 $226
CT scan of the sinuses $161 $164 $164 $152
D-dimer test $44 $45 $45 $10
Developmental screening (child) $72 $73 $73 —
DHEA-sulfate test $44 $45 $45 $22
Diagnostic mammogram $947 $966 $966 $140
Drug screen (urine) $164 $168 $168 $17
Echocardiogram $209 $213 $213 $138
Electrocardiogram (EKG) $56 $57 $57 $8
Electroencephalogram (EEG) $1,194 $1,218 $1,218 $448
Electrolyte panel $23 $24 $24 $7
Emergency department visit $155 $159 $159 $69
Estradiol (estrogen) test $44 $45 $45 $28
Fallopian tube X-ray (HSG) $1,795 $1,831 $1,831 $164
Family therapy session $190 $193 $193 $110
Fecal occult blood (stool) test $15 $15 $15 $10
Ferritin (iron) test $44 $45 $45 $14
Fibrinogen test $26 $27 $27 $10
Flu test $73 $75 $75 $17
Folate (folic acid) test $44 $45 $45 $15
Free T4 thyroid test $44 $45 $45 $9
FSH hormone test $44 $45 $45 $19
Gallbladder scan (HIDA) $2,119 $2,163 $2,163 $334
GGT liver test $6 $6 $6 $7
Glucose tolerance test $28 $28 $28 $8
Group therapy session $126 $129 $129 $30
H. pylori test $59 $60 $60 $67
HDL cholesterol test $44 $45 $45 $8
Hematocrit test $12 $12 $12 $2
Hemodialysis $1,063 $1,085 $1,085 $75
Hemoglobin A1c (diabetes test) $59 $60 $60 $10
Hepatitis A vaccine $237 $242 $242 —
Hepatitis B test $73 $75 $75 $10
Hepatitis B vaccine $182 $185 $185 —
Hepatitis C test $73 $75 $75 $14
HIV test $73 $75 $75 $19
Holter heart monitor $81 $83 $83 $26
Home sleep apnea test $462 $472 $472 $123
HPV vaccine $948 $967 $967 —
Iron blood test $18 $18 $18 $6
IV infusion therapy $1,137 $1,161 $1,161 $44
Kidney scan (nuclear) $706 $721 $721 $172
Kidney ultrasound $546 $557 $557 $84
Lactate test $59 $60 $60 $12
LDH test $12 $12 $12 $6
LDL cholesterol test $44 $45 $45 $11
Leg vein ultrasound (Doppler) $1,347 $1,375 $1,375 $150
LH hormone test $73 $75 $75 $19
Lipase test $23 $24 $24 $7
Lipid (cholesterol) panel $56 $57 $57 $13
Liver function panel $32 $33 $33 $8
Lung function test (PFT) $262 $268 $268 $37
Lung scan (V/Q) $1,704 $1,739 $1,739 $291
Magnesium blood test $18 $18 $18 $7
MMR vaccine $295 $301 $301 —
MRA of the brain $1,517 $1,548 $1,548 $226
MRA of the neck $1,615 $1,648 $1,648 $245
MRI of the abdomen $1,436 $1,465 $1,465 $300
MRI of the ankle $1,648 $1,682 $1,682 $261
MRI of the brain $1,061 $1,082 $1,082 $269
MRI of the chest $1,640 $1,673 $1,673 $371
MRI of the knee $1,069 $1,091 $1,091 $315
MRI of the lower back (lumbar spine) $1,061 $1,082 $1,082 $270
MRI of the mid-back (thoracic spine) $1,077 $1,099 $1,099 $271
MRI of the neck (cervical spine) $1,077 $1,099 $1,099 $274
MRI of the pelvis $1,485 $1,515 $1,515 $268
MRI of the shoulder $1,444 $1,473 $1,473 $313
MRI of the wrist $1,632 $1,665 $1,665 $330
Nebulizer breathing treatment $1,314 $1,340 $1,340 $9
Nerve conduction study $205 $210 $210 $118
Nuchal translucency ultrasound $619 $632 $632 $116
Nuclear cardiac stress test $2,389 $2,438 $2,438 $428
Occupational therapy evaluation $486 $496 $496 $101
Office visit (established patient) $284 $290 $290 $115
Office visit (new patient) $316 $322 $322 $177
Pap smear (cervical screening) $117 $120 $120 $20
Parathyroid hormone (PTH) test $44 $45 $45 $41
Pelvic ultrasound $765 $780 $780 $78
Phosphorus blood test $6 $6 $6 $5
Physical therapy evaluation $733 $747 $747 $98
Platelet count $12 $12 $12 $4
Pneumonia vaccine $402 $411 $411 —
Pregnancy blood test (hCG) $29 $30 $30 $8
Pregnancy ultrasound $856 $873 $873 $126
Procalcitonin test $441 $450 $450 $27
Prolactin test $59 $60 $60 $19
Prostate test (PSA) $59 $60 $60 $18
Psychiatric evaluation $758 $774 $774 $188
Psychotherapy session $474 $484 $484 $140
Pulmonary rehabilitation $948 $967 $967 $87
Retinal (fundus) photography $316 $322 $322 $37
RSV vaccine $1,112 $1,134 $1,134 —
Sacroiliac joint injection $897 $916 $916 $176
Scoliosis spine X-ray $364 $372 $372 $58
Screening mammogram $819 $836 $836 $126
Scrotal ultrasound $364 $372 $372 $99
Sedimentation rate (ESR) test $16 $16 $16 $3
Semen analysis $85 $87 $87 $12
Sex hormone binding globulin test $73 $75 $75 $22
Shingles vaccine $777 $792 $792 —
Skin biopsy $1,101 $1,123 $1,123 $121
Skin lesion freezing (cryotherapy) $367 $374 $374 $36
Sleep study (polysomnography) $924 $943 $943 $691
Soft tissue ultrasound $109 $111 $111 $64
Speech therapy $215 $220 $220 $76
Strep throat test $73 $75 $75 $17
Stress echocardiogram $278 $284 $284 $209
Swallow study $287 $293 $293 $85
T3 thyroid test $44 $45 $45 $14
Tdap (tetanus) vaccine $189 $193 $193 —
Testosterone test $44 $45 $45 $26
Thyroid test (TSH) $44 $45 $45 $17
Thyroid ultrasound $910 $929 $929 $109
Thyroid uptake scan $873 $890 $890 $145
Tilt table test $278 $284 $284 $168
Total IgE allergy test $44 $45 $45 $16
Total protein test $6 $6 $6 $4
Transesophageal echocardiogram (TEE) $348 $355 $355 $239
Transvaginal ultrasound $910 $929 $929 $118
Triglycerides test $6 $6 $6 $6
Troponin (heart) test $73 $75 $75 $12
Upper GI series (barium) $874 $892 $892 $128
Uric acid (gout) test $6 $6 $6 $5
Urinalysis $12 $12 $12 $3
Urine microalbumin test $37 $37 $37 $5
Urine pregnancy test $29 $30 $30 $9
Vaccine administration $72 $74 $74 $19
Vitamin B12 test $44 $45 $45 $15
Vitamin D test $44 $45 $45 $30
Wound debridement $1,669 $1,703 $1,703 $186
X-ray of the abdomen $200 $204 $204 $36
X-ray of the ankle $218 $223 $223 $37
X-ray of the collarbone $273 $279 $279 $33
X-ray of the elbow $328 $334 $334 $33
X-ray of the facial bones $237 $242 $242 $39
X-ray of the foot $218 $223 $223 $34
X-ray of the forearm $273 $279 $279 $29
X-ray of the hand $218 $223 $223 $38
X-ray of the hip $291 $297 $297 $49
X-ray of the knee $273 $279 $279 $42
X-ray of the lower back (lumbar spine) $291 $297 $297 $47
X-ray of the lower leg $218 $223 $223 $31
X-ray of the mid-back (thoracic spine) $218 $223 $223 $36
X-ray of the neck (cervical spine) $218 $223 $223 $47
X-ray of the pelvis $255 $260 $260 $36
X-ray of the ribs $218 $223 $223 $42
X-ray of the shoulder $273 $279 $279 $36
X-ray of the skull $255 $260 $260 $40
X-ray of the upper arm $218 $223 $223 $32
X-ray of the wrist $255 $260 $260 $43
Zinc blood test $73 $75 $75 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.