Good Samaritan Hospital prices. From its own published file.

Good Samaritan Hospital in Los Gatos, CA publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

16,608prices published

Sep 2026file last updated

$1,886cash price for iv fluids, first hour (list $3,757)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$7,104	$7,104	$63.97–$7,104
Emergency visit, high (level 4) `99284`	$13,840	$13,840	$98.04–$13,840
Emergency visit, highest (level 5) `99285`	$21,255	$21,255	$155–$21,255
Comprehensive metabolic panel `80053`	$3,215	$3,215	$10.56–$3,215
Basic metabolic panel `80048`	$2,185	$2,185	$8.46–$2,185
Complete blood count (CBC) `85025`	—	—	$7.77–$80.80
Blood draw (venipuncture) `36415`	$15.94	$291	$3.00–$1,275
Urinalysis `81001`	$1,073	$1,073	$3.17–$1,073
Troponin (heart test) `84484`	$2,111	$2,111	$10.93–$2,111
EKG tracing `93005`	$427	$2,129	$8.53–$2,129
Chest X-ray, 2 views `71046`	$2,705	$2,705	$18.13–$5,074
CT head without contrast `70450`	$19,448	$19,448	$63.19–$19,448
CT abdomen and pelvis with contrast `74177`	$44,564	$44,564	$203–$44,564
MRI lower back without contrast `72148`	$22,183	$22,183	$117–$22,183
Ultrasound, abdomen `76700`	$3,629	$5,345	$71.67–$7,061
IV push, single drug `96374`	$868	$891	$49.82–$1,418
IV fluids, first hour `96360`	$1,886	$3,757	$63.71–$3,757
Ketorolac injection, 15 mg `J1885`	$181	$185	$0.33–$186
Ondansetron injection `J2405`	$208	$307	$0.09–$407
Colonoscopy, diagnostic `45378`	—	—	$28.69–$14,449
Upper GI endoscopy with biopsy `43239`	—	—	$21.52–$14,449
Knee arthroscopy `29881`	—	—	$93.24–$18,309
Vaginal delivery, routine care `59400`	—	—	$50.20–$10,378
Cesarean delivery, routine care `59510`	—	—	$86.06–$11,861

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Good Samaritan Hospital price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.