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St Marys Good Samaritan Hospital

5401 Lake Oconee Parkway, Greensboro, GA 30642 · (706) 453-7331

Critical Access HospitalsProprietaryCMS rating 4/5Part of Trinity Health · 52 hospitals

Price file

Prices published

File dated 2025-01-01 (older than a year)

3,350 price rows for 38 procedures

Published prices

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

CPT 80048 · lowest of 4 lines

$85
cash
$1,199
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines

$1,129
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines

$1,391
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 12 lines

$73
cash
—
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 8 lines

$49
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines

$140
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines

$385
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 12 lines

$73
cash
—
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 8 lines

$33
cash
Liver function panel

CPT 80076 · lowest of 4 lines

$107
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines

$2,226
cash
$1,529
cash
$1,608
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines

$1,331
cash
—
cash
PSA test (prostate)

CPT 84153 · lowest of 8 lines

$58
cash
$23
cash
$77
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines

$573
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 8 lines

$25
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 6 lines

$206
cash
—
cash
TSH test (thyroid)

CPT 84443 · lowest of 4 lines

$30
cash
Transvaginal ultrasound

CPT 76830 · lowest of 4 lines

$424
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines

$809
cash
—
cash
Urinalysis with microscope

CPT 81001 · lowest of 4 lines

$11
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 4 lines

$296
cash

Source files

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