Good Samaritan Hospital Medical Center — prices & quality

Published cash, insurer and chargemaster prices for 528 procedures at Good Samaritan Hospital Medical Center, West Islip, NY — from its federally-required machine-readable file.

528procedures with published prices
★★★☆☆  CMS ratingCompare with another hospital

1000 Montauk Highway, West Islip, NY 11795

CMS overall rating★★★☆☆
Patient survey★★★☆☆
Would recommend62%
ER wait (median)224 min
Patient safety (PSI-90)Worse than national
Infections vs nationalBetter than national
Sepsis care91%
🍼 Birthing-Friendly hospital

Acute Care Hospitals · Voluntary non-profit - Private · 437 beds

Sepsis care = share of cases treated per the recommended protocol (higher is better). Quality ratings from CMS Care Compare.

All published prices

ProcedureCashChargemasterInsurerMedicareEst. you pay
3D mammogram (tomosynthesis) — $459 $206 $51
Abdominal fluid drain (paracentesis) — $2,819 $1,304 $284
Abdominal ultrasound — $1,225 $132 $100
Abdominal ultrasound (complete) — $1,338 $136 $114
Abdominal ultrasound (limited) — $1,111 $126 $86
Abscess drainage (complex or multiple) — $1,168 $686 $220
Abscess drainage (simple) — $691 $485 $129
Abscess incision and drainage — $1,168 $489 $174
Achilles tendon repair — $18,022 $5,128 $624
ACL knee reconstruction — — $5,854 $889
Acupuncture — — $29 $38
Acupuncture (each additional) — — $29 $28
Adenoid removal (adenoidectomy) — — $3,838 $204
Albumin blood test — $128 $6 $5
Aldosterone test — $445 $45 $41
Alkaline phosphatase test — $186 $6 $5
Allergy patch testing — — $653 $5
Allergy shots — $236 $57 $11
Allergy testing — $3,650 $1,204 $4
Alpha-fetoprotein (AFP) test — $375 $17 $17
ALT liver enzyme test — $161 $6 $5
Ammonia blood test — $151 $16 $15
Amniocentesis — $3,495 $1,579 $120
Amylase test — $132 $7 $6
Anal fistula repair — — $3,245 $541
Ankle fracture repair — — $5,279 $608
Ankle replacement — — $5,573 $885
Annual physical (established patient) — — $132 —
Annual physical (new patient) — — $150 —
Anoscopy — — $576 $129
Antinuclear antibody (ANA) test — $198 $12 $12
Aortic aneurysm repair (AAA) — — $4,212 $1,345
Aortic valve replacement — — $4,660 $1,603
Arterial blood gas (ABG) — $356 $27 $26
AST liver enzyme test — $134 $6 $5
Barium swallow study — $1,032 $211 $107
Bartholin cyst removal — $660 $343 $182
Basic metabolic panel — $215 $9 $8
Benign skin lesion removal — $1,772 $916 $171
Bilirubin blood test — $82 $6 $5
Bladder function test (urodynamics) — — $790 $345
Bladder scope (cystoscopy) — $2,195 $1,977 $216
Bladder tumor removal (TURBT) — — $4,081 $236
Blood clotting test (PT/INR) — $123 $5 $4
Blood crossmatch — $391 $197 —
Blood glucose test — $156 $5 $5
Blood transfusion — $3,700 $517 $47
Blood type and screen — $297 $46 $10
Blood type test — $350 $16 $3
Blood type test (ABO group) — $350 $16 $3
Blood type test (Rh/D antigen) — $201 $28 $3
BNP (heart failure) test — $602 $41 $39
Bone density scan (DEXA) — $873 $126 $39
Bone marrow biopsy — $9,932 $3,094 $172
Bone scan (nuclear) — $3,278 $476 $259
Botox for migraine — $1,489 $777 $157
Brain shunt (VP shunt) — — $4,194 $1,023
Breast biopsy — $5,002 $2,714 $478
Breast MRI — $7,028 $644 $216
Breast MRI without contrast — $7,028 $518 $216
Breast reconstruction — — $5,573 $1,227
Breast reduction — — $5,269 $980
Breast ultrasound — $554 $126 $92
Breast ultrasound (complete) — $677 $126 $100
Breast ultrasound (limited) — $554 $105 $84
Breathing tube insertion (intubation) — $806 $774 $133
Bronchoscopy — $5,071 $3,094 $303
Bunion surgery (bunionectomy) — — $4,660 $883
Burn dressing and debridement (medium) — $612 $642 $166
Burn dressing and debridement (small) — $624 $642 $93
Burn treatment — $618 $642 $129
C-reactive protein (CRP) — $162 $5 $5
CA 19-9 tumor marker test — $480 $23 $21
CA-125 ovarian marker test — $480 $23 $21
Calcium blood test — $134 $6 $5
Capsule endoscopy — $3,000 $1,433 $802
Cardiac ablation — $89,295 $29,031 $759
Cardiac catheterization — $18,399 $4,752 $1,049
Cardiac event monitor — — $61 $170
Cardiac MRI — $4,232 $606 $322
Cardiac MRI without contrast — $4,232 $518 $280
Cardiac rehabilitation — $513 $149 $26
Cardiac stress test — $1,800 $369 $39
Cardioversion — $6,239 $824 $155
Carotid artery surgery — — $4,194 $1,026
Carotid artery ultrasound — $2,232 $286 $156
Carpal tunnel release — $6,820 $2,791 $483
Cataract surgery — — $2,726 $547
CEA tumor marker test — $424 $21 $19
Celiac disease test — — $12 $12
Central line placement — $8,030 $3,725 $238
Cervical cerclage — $11,106 $3,763 $137
Cervical LEEP procedure — $11,814 $3,763 $325
Cesarean section (C-section) — — $9,812 $7,552
Chalazion (eyelid cyst) removal — — $354 $131
Chemotherapy infusion — $1,255 $237 $81
Chemotherapy infusion (each additional) — $364 $84 $28
Chemotherapy infusion (first hour) — $2,145 $393 $133
Chest fluid drain (thoracentesis) — $2,732 $1,166 $311
Chest tube insertion — $4,035 $1,838 $143
Chest X-ray — $631 $104 $37
Chest X-ray (1 view) — $565 $104 $25
Chest X-ray (2 views) — $606 $104 $33
Chickenpox (varicella) vaccine — $1,325 $265 —
Chiropractic adjustment — — $30 $38
Circumcision — $4,899 $2,473 $167
CK-MB heart enzyme test — $146 $12 $12
Clotting time test (PTT) — $197 $7 $6
Colon resection (colectomy) — — $3,962 $1,238
Colonoscopy — — $1,395 $480
Colostomy — — $3,962 $1,122
Colposcopy — $1,214 $789 $161
Complete blood count (CBC) — $145 $8 $7
Complete blood count (CBC) (complete) — $232 $8 $8
Complex wound repair — $1,810 $1,091 $390
Comprehensive eye exam — — $153 $138
Comprehensive metabolic panel — $584 $11 $11
Contact lens fitting — — $104 —
Continuous glucose monitor setup — — $213 $35
Contraceptive implant (Nexplanon) — $1,730 $519 $115
Copper blood test — $245 $14 $12
Corneal transplant — — $4,760 $1,066
Coronary artery bypass (CABG) — — $53,853 $36,593
Coronary CT angiography — $3,357 $423 $326
Cortisol test — $204 $18 $16
COVID-19 PCR test — $300 $52 $51
CPAP titration study — $1,100 $291 $69
Craniotomy (brain surgery) — — $5,148 $2,161
Creatine kinase (CK) test — $106 $7 $7
CT angiography of the chest — $4,551 $318 $281
CT angiography of the head — $4,128 $402 $274
CT colonography (virtual colonoscopy) — $2,400 $462 $835
CT scan of the abdomen — $2,767 $283 $230
CT scan of the abdomen and pelvis — $3,825 $423 $300
CT scan of the abdomen and pelvis with and without contrast — $4,112 $425 $338
CT scan of the abdomen and pelvis with contrast — $3,825 $425 $300
CT scan of the abdomen and pelvis without contrast — $3,451 $287 $183
CT scan of the abdomen with and without contrast — $3,467 $402 $259
CT scan of the abdomen with contrast — $2,767 $386 $230
CT scan of the abdomen without contrast — $2,767 $245 $136
CT scan of the arm — $1,200 $402 $199
CT scan of the arm with contrast — $1,200 $423 $199
CT scan of the arm without contrast — $1,200 $245 $161
CT scan of the chest — $3,669 $283 $167
CT scan of the chest with and without contrast — $3,987 $402 $196
CT scan of the chest with contrast — $3,669 $380 $167
CT scan of the chest without contrast — $2,486 $245 $133
CT scan of the head — $2,605 $263 $148
CT scan of the head with and without contrast — $4,117 $387 $173
CT scan of the head with contrast — $2,605 $330 $148
CT scan of the head without contrast — $2,400 $231 $107
CT scan of the leg — $1,200 $283 $166
CT scan of the leg with contrast — $1,200 $386 $166
CT scan of the leg without contrast — $1,200 $245 $130
CT scan of the lower back (lumbar spine) — $2,400 $402 $169
CT scan of the lower back (lumbar spine) with and without contrast — $4,800 $402 $197
CT scan of the lower back (lumbar spine) with contrast — $2,400 $423 $169
CT scan of the lower back (lumbar spine) without contrast — $2,400 $245 $130
CT scan of the neck — $2,767 $283 $183
CT scan of the neck (cervical spine) — $2,283 $402 $168
CT scan of the neck (cervical spine) with and without contrast — $2,283 $402 $196
CT scan of the neck (cervical spine) with contrast — $3,162 $423 $168
CT scan of the neck (cervical spine) without contrast — $1,829 $245 $131
CT scan of the neck with and without contrast — $5,534 $402 $220
CT scan of the neck with contrast — $2,767 $380 $183
CT scan of the neck without contrast — $2,767 $245 $150
CT scan of the pelvis — $3,006 $283 $226
CT scan of the pelvis with and without contrast — $3,086 $402 $251
CT scan of the pelvis with contrast — $2,767 $386 $226
CT scan of the pelvis without contrast — $3,006 $245 $133
CT scan of the sinuses — $3,663 $271 $152
CT scan of the sinuses with and without contrast — $3,884 $397 $184
CT scan of the sinuses with contrast — $3,663 $330 $152
CT scan of the sinuses without contrast — $2,767 $245 $128
D-dimer test — $218 $11 $10
Defibrillator (ICD) implant — $138,359 $38,699 $798
Developmental screening (child) — $700 $348 —
DHEA-sulfate test — $545 $25 $22
Diagnostic mammogram — $823 $263 $140
Dialysis fistula creation — — $3,725 $601
Dilation and curettage (D&C) — — $3,763 $298
Droopy eyelid repair (ptosis) — — $2,761 $745
Drug screen (urine) — $124 $28 $17
Ear pressure test (tympanometry) — $155 $46 $16
Ear tubes (myringotomy) — — $1,546 $174
Eardrum repair (tympanoplasty) — — $5,576 $799
Echocardiogram — $3,280 $485 $138
Echocardiogram with and without contrast — $1,978 $286 $101
Echocardiogram without contrast — $3,280 $286 $138
EEG (awake and asleep) — $2,098 $370 $482
EKG / ECG (tracing only) — $501 $70 $7
Elbow replacement — — $6,056 $1,301
Electrocardiogram (EKG) — $501 $48 $8
Electroencephalogram (EEG) — $2,098 $370 $448
Electrolyte panel — $118 $7 $7
Electromyography (EMG) — $363 $153 $141
Emergency department visit — $1,663 $866 $69
Emergency department visit (level 1) — $1,333 $462 $11
Emergency department visit (level 2) — $1,663 $1,081 $40
Emergency department visit (level 3) — $2,218 $1,442 $69
Emergency department visit (level 4) — $2,558 $1,663 $118
Emergency department visit (level 5) — $3,049 $1,783 $171
Endometrial biopsy — $608 $763 $98
Epidural steroid injection — $2,860 $1,150 $275
ERCP (bile duct endoscopy) — — $3,932 $311
Esophageal dilation — — $1,297 $522
Esophageal variceal banding — — $2,245 $126
Estradiol (estrogen) test — $674 $31 $28
Eye refraction (glasses prescription) — — $39 —
Eyelid surgery (blepharoplasty) — — $2,496 $552
Facet joint injection (spine) — $2,050 $1,070 $99
Fallopian tube X-ray (HSG) — $1,315 $455 $164
Family therapy session — $559 $246 $110
Fecal occult blood (stool) test — $49 $8 $10
Fecal occult blood (stool) test (guaiac, gFOBT) — $49 $5 $4
Fecal occult blood (stool) test (immunochemical, FIT) — — $16 $16
Feeding tube (PEG) placement — $4,794 $2,341 $178
Femoral hernia repair — — $4,176 $584
Ferritin (iron) test — $275 $15 $14
Fibrinogen test — $219 $10 $10
Fibroid removal (myomectomy) — — $4,078 $914
Flexible sigmoidoscopy — $2,666 $1,125 $323
Flu test — — $17 $17
Flu vaccine — — $38 —
Folate (folic acid) test — $255 $15 $15
Foreign body removal (skin) — $1,168 $686 $157
Free T4 thyroid test — $490 $10 $9
FSH hormone test — $384 $21 $19
Gallbladder removal (laparoscopic) — — $6,118 $658
Gallbladder scan (HIDA) — $3,517 $637 $334
Ganglion cyst removal — $4,862 $2,510 $321
GGT liver test — $101 $8 $7
Glaucoma surgery — — $2,726 $984
Glucose tolerance test — $325 $11 $8
Group therapy session — $280 $182 $30
H. pylori test — — $67 $67
Hammertoe repair — — $3,840 $548
HDL cholesterol test — $104 $8 $8
Hearing test (audiometry) — $599 $185 $36
Hematocrit test — $98 $2 $2
Hemodialysis — — $851 $75
Hemoglobin A1c (diabetes test) — $416 $11 $10
Hemorrhoid removal — $8,657 $3,076 $338
Hepatitis A vaccine — $618 $155 —
Hepatitis B test — $163 $12 $10
Hepatitis B vaccine — $518 $122 —
Hepatitis C test — $369 $15 $14
Hip arthroscopy — — $6,141 $931
Hip fracture repair — — $4,323 $1,120
Hip replacement — — $15,226 $1,162
HIV test — $160 $24 $19
HIV test (antibody) — $208 $16 $14
HIV test (antigen/antibody combo) — $112 $25 $24
Holter heart monitor — $734 $201 $26
Home sleep apnea test — $5,750 $555 $123
HPV vaccine — $2,270 $518 —
Hydrocele repair — — $4,176 $315
Hysterectomy — — $5,567 $933
Hysteroscopy — — $3,763 $1,270
Ileostomy — — $3,962 $968
Inguinal hernia repair — $11,433 $4,176 $538
Iron blood test — $171 $7 $6
IUD insertion — $1,839 $1,195 —
IUD removal — $772 $396 $112
IV infusion therapy — $1,260 $249 $44
IV infusion therapy (each additional) — $420 $55 $21
IV infusion therapy (initial) — $2,100 $249 $67
IVC filter placement — $15,674 $6,056 $1,885
Joint aspiration (small/intermediate) — $1,018 $621 $57
Joint aspiration or injection (mid-size joint) — $970 $621 $57
Joint aspiration or injection (small joint) — $1,066 $644 $56
Kidney biopsy — $5,629 $2,323 $492
Kidney removal (nephrectomy) — — $3,962 $1,164
Kidney scan (nuclear) — $2,950 $637 $172
Kidney stone shock-wave (lithotripsy) — $18,120 $4,081 $760
Kidney ultrasound — $1,121 $131 $84
Kidney ultrasound (limited) — $881 $126 $61
Knee arthroscopy — — $3,840 $524
Knee joint injection — $1,761 $687 $69
Knee replacement — — $29,307 $18,054
Lactate test — $234 $12 $12
Laminectomy (spine) — — $8,454 $1,157
Laryngoscopy — $4,610 $1,246 $189
LDH test — $112 $6 $6
LDL cholesterol test — $306 $11 $11
Leg artery angiogram — $11,513 $3,725 $149
Leg artery angioplasty — — $7,120 —
Leg vein ultrasound (Doppler) — $2,236 $286 $150
Leg vein ultrasound (Doppler) (limited) — $1,758 $211 $116
LH hormone test — $424 $21 $19
Lipase test — $189 $7 $7
Lipid (cholesterol) panel — $272 $14 $13
Liver biopsy — $6,883 $1,917 $288
Liver function panel — $224 $9 $8
Lumbar discectomy — — $8,454 $898
Lumpectomy (breast) — — $4,531 $750
Lung function test (PFT) — $838 $258 $37
Lung scan (V/Q) — $3,339 $637 $291
Magnesium blood test — $130 $7 $7
Mastectomy — — $5,576 $1,021
Mastoidectomy — — $6,061 $840
Meniscus repair (knee) — — $3,840 $714
MMR vaccine — $674 $135 —
Mohs skin cancer surgery — — $1,535 $535
MRA of the brain — $4,500 $644 $226
MRA of the brain with contrast — $4,635 $765 $226
MRA of the brain without contrast — $4,500 $800 $328
MRA of the neck — $4,635 $644 $245
MRA of the neck with contrast — $4,635 $765 $245
MRA of the neck without contrast — $4,818 $800 $343
MRI of the abdomen — $4,232 $644 $300
MRI of the abdomen with contrast — $4,232 $799 $300
MRI of the abdomen without contrast — $4,232 $518 $194
MRI of the ankle — $4,232 $644 $261
MRI of the ankle with contrast — $4,232 $765 $261
MRI of the ankle without contrast — $4,232 $518 $222
MRI of the brain — $4,500 $606 $269
MRI of the brain with contrast — $4,500 $761 $269
MRI of the brain without contrast — $4,500 $518 $195
MRI of the chest — $4,232 $935 $371
MRI of the chest with contrast — $4,232 $1,031 $371
MRI of the chest without contrast — $4,610 $828 $466
MRI of the knee — $4,232 $935 $315
MRI of the knee with contrast — $4,232 $988 $315
MRI of the knee without contrast — $4,232 $518 $204
MRI of the lower back (lumbar spine) — $4,232 $606 $270
MRI of the lower back (lumbar spine) with contrast — $4,232 $764 $270
MRI of the lower back (lumbar spine) without contrast — $4,232 $518 $192
MRI of the mid-back (thoracic spine) — $4,232 $606 $271
MRI of the mid-back (thoracic spine) with and without contrast — $4,232 $765 $319
MRI of the mid-back (thoracic spine) with contrast — $4,610 $765 $271
MRI of the mid-back (thoracic spine) without contrast — $4,232 $518 $190
MRI of the neck (cervical spine) — $4,232 $606 $274
MRI of the neck (cervical spine) with and without contrast — $8,464 $765 $318
MRI of the neck (cervical spine) with contrast — $4,232 $765 $274
MRI of the neck (cervical spine) without contrast — $4,232 $518 $191
MRI of the pelvis — $4,232 $644 $268
MRI of the pelvis with contrast — $4,232 $765 $268
MRI of the pelvis without contrast — $4,232 $518 $227
MRI of the shoulder — $4,232 $935 $313
MRI of the shoulder with contrast — $4,232 $984 $313
MRI of the shoulder without contrast — $4,232 $518 $205
MRI of the wrist — $4,232 $644 $330
MRI of the wrist with contrast — $4,232 $800 $330
MRI of the wrist without contrast — $4,232 $518 $303
Nebulizer breathing treatment — $895 $241 $9
Neck (cervical) spinal fusion — — $15,226 $1,410
Nerve conduction study — $719 $246 $118
Newborn hospital care — — $153 $58
Nuchal translucency ultrasound — $566 $126 $116
Nuclear cardiac stress test — $5,673 $1,545 $428
Occupational therapy evaluation — $650 $303 $101
Occupational therapy evaluation (high complexity) — $675 $304 $101
Occupational therapy evaluation (low complexity) — $625 $296 $101
Occupational therapy evaluation (moderate complexity) — $650 $296 $101
Office visit (established patient) — $343 $188 $115
Office visit (new patient) — $375 $202 $177
Office visit, established patient (level 3) — $310 $155 $95
Office visit, established patient (level 4) — $375 $188 $136
Office visit, new patient (level 3) — $310 $155 $118
Office visit, new patient (level 4) — $375 $188 $177
Office visit, new patient (level 5) — $450 $225 $237
Orthopedic hardware removal — $7,870 $3,548 $632
Ovarian cyst removal — — $5,183 $698
Ovary removal (oophorectomy) — — $3,868 $822
Pacemaker insertion — — $30,396 $15,506
Pap smear (cervical screening) — $256 $27 $20
Parathyroid hormone (PTH) test — $535 $46 $41
Parathyroid removal — — $5,573 $891
Pelvic ultrasound — $1,141 $126 $78
Pelvic ultrasound (complete) — $1,693 $126 $105
Pelvic ultrasound (limited) — $589 $126 $51
PET scan — $10,000 $1,812 —
Phosphorus blood test — $94 $5 $5
Physical therapy evaluation — $650 $293 $98
Physical therapy evaluation (high complexity) — $675 $303 $98
Physical therapy evaluation (moderate complexity) — $650 $293 $98
Pilonidal cyst removal — $8,582 $3,421 $541
Platelet count — $161 $5 $4
Pneumonia vaccine — $808 $170 —
Pregnancy blood test (hCG) — $357 $8 $8
Pregnancy ultrasound — $881 $126 $126
Pregnancy ultrasound (first trimester) — $881 $126 $117
Pregnancy ultrasound (second or third trimester) — $881 $126 $136
Procalcitonin test — $165 $33 $27
Prolactin test — $447 $22 $19
Prostate biopsy — — $2,448 —
Prostate removal (prostatectomy) — — $5,480 $1,063
Prostate surgery (TURP) — — $5,190 $526
Prostate test (PSA) — $337 $21 $18
Psychiatric evaluation — $525 $333 $188
Psychotherapy session — $413 $276 $140
Pterygium removal (eye) — — $2,761 $540
Pulmonary rehabilitation — $197 $70 $87
Radiofrequency nerve ablation — — $2,311 $462
Retina scan (OCT) — — $70 $33
Retinal (fundus) photography — — $131 $37
Retinal detachment repair — — $4,760 $966
Rheumatoid factor test — $86 $6 $6
Rotator cuff repair — — $6,010 $792
Routine eye exam — — $153 $88
RSV vaccine — $2,117 $529 —
Sacroiliac joint injection — $138 $726 $176
Scoliosis spine X-ray — $497 $114 $58
Scoliosis spine X-ray (1 view) — $484 $104 $44
Scoliosis spine X-ray (3 views) — $510 $126 $72
Screening colonoscopy — — $1,079 $378
Screening mammogram — $781 $249 $126
Scrotal ultrasound — $1,224 $126 $99
Sedimentation rate (ESR) test — $161 $4 $3
Semen analysis — — $13 $12
Septoplasty (deviated septum) — — $3,838 $613
Sex hormone binding globulin test — $316 $22 $22
Shingles vaccine — — $163 —
Shoulder arthroscopy — — $5,854 $962
Shoulder replacement — — $9,285 $1,300
Simple laceration repair (small, up to 2.5 cm) — $612 $642 $114
Simple wound stitches — $612 $642 $127
Sinus surgery (endoscopic) — — $4,363 $224
Skin biopsy — $1,828 $839 $121
Skin biopsy (punch) — $1,657 $965 $121
Skin cancer lesion removal — — $839 $240
Skin graft — $7,853 $3,824 $898
Skin lesion freezing (cryotherapy) — — $544 $36
Skin tag removal — $612 $485 $92
Sleep study (polysomnography) — $10,875 $1,864 $691
Small bowel resection — — $3,962 $1,136
Soft tissue ultrasound — $550 $126 $64
Speech therapy — $370 $195 $76
Spinal cord stimulator — — $7,766 $2,388
Spinal tap (lumbar puncture) — $2,814 $1,216 $165
Spine fracture repair (kyphoplasty) — $28,393 $8,454 $5,803
Spirometry (lung function test) — $585 $185 $30
Spirometry with bronchodilator — $1,091 $369 $43
Spleen removal (splenectomy) — — $5,148 $1,036
Stomach removal (gastrectomy) — — $3,962 $1,595
Strabismus (eye muscle) surgery — — $3,954 $475
Strep throat test — $150 $17 $17
Stress echocardiogram — $4,240 $649 $209
Stress echocardiogram (complete) — $5,199 $649 $233
Swallow study — $828 $373 $85
T3 thyroid test — $130 $14 $14
Tdap (tetanus) vaccine — $384 $85 —
Testicle removal (orchiectomy) — — $4,081 $306
Testosterone test — $538 $29 $26
Thyroid removal (thyroidectomy) — — $5,576 $1,004
Thyroid test (TSH) — $393 $17 $17
Thyroid ultrasound — $917 $126 $109
Thyroid uptake scan — $1,138 $476 $145
Tilt table test — $4,547 $628 $168
Tonsillectomy — — $3,987 $252
Total IgE allergy test — $339 $17 $16
Total protein test — $106 $4 $4
Tracheostomy — — $3,838 $273
Transesophageal echocardiogram (TEE) — $5,409 $649 $239
Transesophageal echocardiogram (TEE) with and without contrast — $5,615 $649 $239
Transvaginal ultrasound — $1,224 $136 $118
Trigger finger release — $4,862 $2,451 $630
Trigger point injection — $4,400 $687 $56
Trigger point injection (1-2 muscles) — $3,080 $687 $52
Triglycerides test — $204 $6 $6
Troponin (heart) test — $280 $12 $12
Tubal ligation — — $5,128 $333
Turbinate reduction — — $3,838 $294
Turning a breech baby (version) — $7,572 $3,763 $94
Ulnar nerve surgery (elbow) — — $2,311 $575
Upper GI endoscopy (EGD) — $3,588 $1,665 $371
Upper GI series (barium) — $1,119 $211 $128
Ureteral stent placement — — $4,081 $373
Ureteroscopy (stone removal) — $18,120 $6,016 $365
Uric acid (gout) test — $161 $5 $5
Urinalysis — $67 $3 $3
Urine microalbumin test — $161 $6 $5
Urine pregnancy test — $102 $9 $9
UV light therapy (skin) — — $82 $106
Vaccine administration — $290 $84 $19
Vaccine administration (each additional) — $236 $94 $16
Vaginal delivery — — $6,824 $5,487
Varicocele repair — — $4,081 $327
Varicose vein ablation — — $3,725 $1,018
Vasectomy — — $2,424 $347
Visual field test — — $135 $64
Vitamin B12 test — $193 $16 $15
Vitamin D test — $982 $33 $30
Vitrectomy (eye) — — $4,760 $814
Vocal cord injection — — $4,363 $211
Wart removal — $612 $485 $121
Weight-loss (bariatric) surgery — — $29,335 $11,645
Well-child visit — — $107 —
Whipple procedure (pancreas) — — $3,962 $2,871
Wound debridement — $1,611 $932 $186
Wrist fracture repair — — $6,010 $735
X-ray of the abdomen — $494 $122 $36
X-ray of the ankle — $716 $104 $37
X-ray of the collarbone — $475 $104 $33
X-ray of the elbow — $509 $104 $33
X-ray of the facial bones — $524 $104 $39
X-ray of the foot — $716 $104 $34
X-ray of the forearm — $494 $104 $29
X-ray of the hand — $716 $104 $38
X-ray of the hip — $755 $104 $49
X-ray of the hip (1 view) — $725 $104 $34
X-ray of the hip (3 views) — $755 $104 $49
X-ray of the hip (4 views) — $780 $126 $63
X-ray of the knee — $530 $104 $42
X-ray of the knee (2 views) — $494 $104 $34
X-ray of the knee (3 views) — $530 $104 $42
X-ray of the knee (4+ views) — $707 $126 $49
X-ray of the lower back (lumbar spine) — $714 $126 $47
X-ray of the lower back (lumbar spine) (2 views) — $714 $126 $40
X-ray of the lower back (lumbar spine) (4+ views) — $713 $126 $53
X-ray of the lower leg — $494 $104 $31
X-ray of the mid-back (thoracic spine) — $552 $126 $36
X-ray of the mid-back (thoracic spine) (2 views) — $475 $126 $33
X-ray of the mid-back (thoracic spine) (3 views) — $628 $126 $39
X-ray of the neck (cervical spine) — $617 $106 $47
X-ray of the neck (cervical spine) (3 views) — $584 $104 $40
X-ray of the pelvis — $502 $126 $36
X-ray of the pelvis (1 view) — $494 $126 $28
X-ray of the ribs — $628 $107 $42
X-ray of the ribs (2 views) — $475 $104 $36
X-ray of the ribs (3 views) — $628 $126 $42
X-ray of the shoulder — $584 $104 $36
X-ray of the skull — $552 $126 $40
X-ray of the upper arm — $494 $104 $32
X-ray of the wrist — $716 $104 $43
YAG laser capsulotomy (eye) — — $1,965 $335
Zinc blood test — $205 $11 $11
What the columns mean
  • Cash — the hospital’s self-pay price if you don’t use insurance.
  • Chargemaster — the full list (sticker) price, before any discount.
  • Insurer — the median rate insurers have negotiated (pick your insurer above to see its rate).
  • Medicare — what Medicare pays — a benchmark for judging whether a price is fair.
  • Est. you pay — your estimated out-of-pocket cost for the deductible and coinsurance you enter above.

Lower-priced hospitals nearby

Within 60 miles, with below-this-hospital prices (≥10 procedures priced).

Doctors affiliated with Good Samaritan Hospital Medical Center

Clinicians who report a care affiliation with this hospital in CMS data, ranked by Medicare patient volume. A signal from Original Medicare, not a quality ranking.

All hospitals in New York →

Before you go — your checklist at Good Samaritan Hospital Medical Center

View this hospital’s source price file ↗. Source: this hospital’s machine-readable file (45 CFR §180), retrieved Jun 2026; Medicare from CMS fee schedules; quality from CMS Care Compare. Estimates — confirm with the hospital. Report an incorrect price.