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Good Samaritan Hospital prices. From its own published file.

Good Samaritan Hospital in Greenboro, GA 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.

2,047prices published
Jan 2025file last updated
$1,608cash price for mri lower back without contrast (list $2,474)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$235$361$56.44–$2,632
Emergency visit, high (level 4)
99284
$384$591$86.74–$2,632
Emergency visit, highest (level 5)
99285
$445$685$132–$2,632
Comprehensive metabolic panel
80053
$140$215$13.29–$2,632
Basic metabolic panel
80048
$85.15$131$10.65–$2,632
Complete blood count (CBC)
85025
$48.75$78.00$9.77–$2,632
Blood draw (venipuncture)
36415
$11.70$18.00$1.80–$2,632
Urinalysis
81001
$11.05$17.00$3.29–$2,632
Troponin (heart test)
84484
$66.30$102$12.38–$2,632
EKG tracing
93005
$111$170$16.12–$2,632
Chest X-ray, 2 views
71046
$148$227$26.98–$2,632
CT head without contrast
70450
$1,129$1,737$204–$2,632
CT abdomen and pelvis with contrast
74177
$1,199$1,844$298–$2,632
MRI lower back without contrast
72148
$1,608$2,474$365–$2,632
Ultrasound, abdomen
76700
$809$1,244$106–$2,632
IV push, single drug
96374
$76.05$117$22.62–$2,632
IV fluids, first hour
96360
$150$230$44.46–$2,632
Ketorolac injection, 15 mg
J1885
$2.29$4.23$0.27–$2,632
Ondansetron injection
J2405
$1.95$3.20$0.21–$2,632
Colonoscopy, diagnostic
45378
——$3,629–$3,629

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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