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Medstar Good Samaritan Hospital
5601 Loch Raven Boulevard, Baltimore, MD 21239 · (443) 444-3902
★★★☆☆CMS overall rating - 3 of 5
30procedure prices published
Acute Care Hospitalshospital type
About this hospital
| Hospital type | Acute Care Hospitals |
|---|---|
| Ownership | Voluntary Non-Profit - Other |
| Emergency services | Yes |
| CMS overall rating | ★★★☆☆ (3 of 5) |
| Facility ID (CCN) | 210056 |
Published prices
From this hospital's own machine-readable price file, last updated 2026-04-01. Cash price is the hospital's discounted cash price for self-pay patients. Typical insurance price is the median of the per-plan negotiated rates in the file. List price is the gross charge before any discount.
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| Procedure | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|
| MRI Brain Without Contrast | $718 | $733 | $733 | $424 - $733 |
| MRI Brain With and Without Contrast | $1,207 | $1,232 | $1,232 | $1,207 - $1,232 |
| MRI Lumbar Spine Without Contrast | $685 | $699 | $699 | $408 - $699 |
| MRI Cervical Spine Without Contrast | $685 | $699 | $699 | $408 - $699 |
| MRI Knee Without Contrast | $767 | $250 | $783 | $245 - $1,565 |
| MRI Shoulder Without Contrast | $767 | $783 | $783 | $767 - $1,565 |
| CT Abdomen and Pelvis With Contrast | $322 | $329 | $329 | $322 - $329 |
| CT Abdomen and Pelvis Without Contrast | $166 | $170 | $170 | $166 - $170 |
| CT Chest With Contrast | $244 | $249 | $249 | $244 - $249 |
| CT Head Without Contrast | $109 | $111 | $111 | $109 - $111 |
| Screening Mammogram | $1,019 | $836 | $1,040 | $619 - $1,040 |
| Echocardiogram (Complete) | $278 | $284 | $284 | $278 - $284 |
| Abdominal Ultrasound (Complete) | $837 | $855 | $855 | $837 - $855 |
| Pelvic Ultrasound | $765 | $780 | $780 | $765 - $780 |
| Chest X-Ray (2 Views) | $182 | $186 | $186 | $182 - $186 |
| Knee X-Ray (3 Views) | $255 | $390 | $260 | $255 - $520 |
| Comprehensive Metabolic Panel | $44.05 | $44.95 | $44.95 | $44.05 - $44.95 |
| Basic Metabolic Panel | $32.30 | $32.96 | $32.96 | $32.30 - $32.96 |
| Lipid Panel (Cholesterol) | $55.80 | $56.94 | $56.94 | $55.80 - $56.94 |
| Complete Blood Count (CBC) | $29.37 | $29.97 | $29.97 | $29.37 - $29.97 |
| Hemoglobin A1c | $58.73 | $59.93 | $59.93 | $58.73 - $59.93 |
| TSH (Thyroid) Test | $44.05 | $44.95 | $44.95 | $44.05 - $44.95 |
| Vitamin D Test | $44.05 | $44.95 | $44.95 | $44.05 - $44.95 |
| Nuclear Stress Test (MPI) | $2,389 | $2,438 | $2,438 | $2,389 - $2,438 |
| Sleep Study (Polysomnography) | $1,797 | $917 | $1,834 | $449 - $1,834 |
| Sleep Study With CPAP | $1,900 | $969 | $1,939 | $475 - $1,939 |
| Physical Therapy Evaluation | $183 | $654 | $187 | $183 - $1,121 |
| Emergency Room Visit, Level 3 | $311 | $317 | $317 | $311 - $317 |
| Emergency Room Visit, Level 4 | $621 | $634 | $634 | $621 - $634 |
| Emergency Room Visit, Level 5 | $155 | $1,110 | $158 | $155 - $1,110 |
Source file: hospital's machine-readable file. Rates vary by plan; the range covers the lowest and highest negotiated rates in the file.
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