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PricedCare

Medstar Good Samaritan Hospital

5601 Loch Raven Boulevard, Baltimore, MD 21239 · (443) 444-3902

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 3/5Baltimore, MD metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

3,795 price rows for 39 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $32

$32
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 3 lines · metro median $322

$322
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $109

$109
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $244

$244
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $131

$132
cash
Complete blood count (CBC) with differential

CPT 85025 · metro median $29

$29
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $44

$44
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $1,088

$1,238
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 9 lines · metro median $250

$379
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $123

$126
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $123

$126
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $131

$132
cash
Group psychotherapy

CPT 90853 · metro median $83

$126
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $55

$56
cash
Liver function panel

CPT 80076 · metro median $32

$32
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $918

$1,207
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $583

$767
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $521

$685
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $521

$685
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 9 lines · metro median $129

$253
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 9 lines · metro median $208

$316
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 9 lines · metro median $250

$379
cash
PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $58

$59
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $23

$23
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 3 lines · metro median $74

$69
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $832

$947
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $253

$253
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · metro median $253

$253
cash
Prothrombin time (blood clotting test)

CPT 85610 · metro median $23

$23
cash
Psychotherapy, 30 minutes

CPT 90832 · metro median $198

$316
cash
Psychotherapy, 45 minutes

CPT 90834 · metro median $250

$379
cash
Psychotherapy, 60 minutes

CPT 90837 · metro median $342

$569
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $896

$1,019
cash
Sleep study (overnight, attended)

CPT 95810 · metro median $1,441

$1,797
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $44

$44
cash
Transvaginal ultrasound

CPT 76830 · metro median $800

$910
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $736

$837
cash
Urinalysis with microscope

CPT 81001 · metro median $26

$26
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $328

$328
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.