Tj Health Samson Community Hospital prices. From its own published file.

Tj Health Samson Community Hospital 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.

4,319prices published

Apr 2026file last updated

$140cash price for ct abdomen and pelvis with contrast (list $3,937)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$115	$177	$0.01–$675
Emergency visit, high (level 4) `99284`	$195	$300	$0.01–$1,450
Emergency visit, highest (level 5) `99285`	$284	$437	$0.01–$2,070
Comprehensive metabolic panel `80053`	$120	$185	$7.15–$191
Basic metabolic panel `80048`	$68.90	$106	$5.69–$109
Complete blood count (CBC) `85025`	$3.25	$49.50	$0.39–$96.82
Blood draw (venipuncture) `36415`	$14.95	$23.00	$5.00–$21.85
Urinalysis `81001`	$26.65	$41.00	$1.30–$42.23
Troponin (heart test) `84484`	$28.60	$81.00	$5.49–$187
EKG tracing `93005`	$73.45	$113	$12.26–$193
Chest X-ray, 2 views `71046`	$16.90	$258	$0.01–$245
CT head without contrast `70450`	$68.90	$1,564	$0.01–$1,486
CT abdomen and pelvis with contrast `74177`	$140	$3,937	$0.01–$3,740
MRI lower back without contrast `72148`	$120	$185	$0.01–$2,566
Ultrasound, abdomen `76700`	$62.40	$970	$0.01–$922
IV push, single drug `96374`	$226	$348	$44.51–$331
IV fluids, first hour `96360`	$226	$348	$45.40–$331
Ketorolac injection, 15 mg `J1885`	$32.24	$49.60	$0.34–$51.09
Ondansetron injection `J2405`	$3.25	$9.00	$0.09–$13.39
Colonoscopy, diagnostic `45378`	$339	$521	$0.01–$537
Upper GI endoscopy with biopsy `43239`	$235	$361	$0.01–$372
Knee arthroscopy `29881`	$837	$1,287	$0.01–$1,326
Vaginal delivery, routine care `59400`	$3,715	$5,715	$0.01–$5,886
Cesarean delivery, routine care `59510`	$4,098	$6,305	$0.01–$6,494

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: Tj Health Samson Community 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.