Good Samaritan Hospital prices. From its own published file.

Good Samaritan Hospital in Suffern, NY 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.

4,953prices published

Jun 2026file last updated

$5,842cash price for emergency visit, moderate (level 3) (list $5,842)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$5,842	$5,842	$193–$11,525
Emergency visit, high (level 4) `99284`	$7,011	$7,011	$193–$11,599
Emergency visit, highest (level 5) `99285`	$10,709	$10,709	$193–$9,103
Comprehensive metabolic panel `80053`	$168	$168	$10.56–$451
Basic metabolic panel `80048`	$135	$135	$8.46–$301
Complete blood count (CBC) `85025`	$125	$125	$7.77–$367
Blood draw (venipuncture) `36415`	$45.00	$45.00	$9.34–$76.51
Urinalysis `81001`	$51.00	$51.00	$3.17–$149
Troponin (heart test) `84484`	$199	$199	$12.47–$290
EKG tracing `93005`	$774	$774	$21.49–$943
Chest X-ray, 2 views `71046`	$1,488	$1,488	$18.62–$1,589
CT head without contrast `70450`	$2,089	$2,089	$130–$6,653
CT abdomen and pelvis with contrast `74177`	$7,115	$7,115	$267–$10,773
MRI lower back without contrast `72148`	$4,342	$4,342	$296–$14,689
Ultrasound, abdomen `76700`	$2,089	$2,089	$130–$4,120
IV push, single drug `96374`	$1,173	$1,173	$147–$11,494
IV fluids, first hour `96360`	$2,063	$2,063	$130–$11,494
Colonoscopy, diagnostic `45378`	—	—	$1,155–$14,367
Upper GI endoscopy with biopsy `43239`	—	—	$1,127–$14,367
Knee arthroscopy `29881`	—	—	$4,064–$14,440

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.