Good Samaritan Hospital (GSH) prices. From its own published file.

Good Samaritan Hospital (GSH) in Vincennes, IN 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.

19,520prices published

Apr 2026file last updated

$2,459cash price for ct abdomen and pelvis with contrast (list $4,099)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$628	$1,046	$59.77–$2,000
Emergency visit, high (level 4) `99284`	$875	$1,458	$97.50–$2,000
Emergency visit, highest (level 5) `99285`	$1,404	$2,340	$147–$2,340
Comprehensive metabolic panel `80053`	$115	$191	$5.00–$191
Basic metabolic panel `80048`	$74.40	$124	$3.47–$124
Complete blood count (CBC) `85025`	$60.00	$100	$5.72–$100
Blood draw (venipuncture) `36415`	$11.40	$19.00	$5.00–$19.00
Urinalysis `81001`	$211	$352	$2.35–$352
Troponin (heart test) `84484`	$104	$174	$12.47–$174
EKG tracing `93005`	$197	$328	$5.53–$328
Chest X-ray, 2 views `71046`	$204	$340	$9.66–$340
CT head without contrast `70450`	$869	$1,449	$78.11–$1,580
CT abdomen and pelvis with contrast `74177`	$2,459	$4,099	$167–$4,099
MRI lower back without contrast `72148`	$1,763	$2,939	$136–$2,957
Ultrasound, abdomen `76700`	$707	$1,178	$35.48–$1,178
IV push, single drug `96374`	$164	$274	$31.49–$450
IV fluids, first hour `96360`	$290	$484	$28.02–$484
Ketorolac injection, 15 mg `J1885`	$22.20	$47.00	$0.24–$67.50
Ondansetron injection `J2405`	$22.20	$37.00	$0.06–$65.00
Colonoscopy, diagnostic `45378`	—	—	$116–$2,603
Upper GI endoscopy with biopsy `43239`	—	—	$116–$2,274
Knee arthroscopy `29881`	—	—	$474–$6,924
Vaginal delivery, routine care `59400`	—	—	$1,058–$3,976
Cesarean delivery, routine care `59510`	—	—	$1,058–$4,403

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 (GSH) 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.