Good Samaritan Hospital
Vincennes, IN
Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $2,436 | $4,060 | 0.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $655.20 | $1,092 | 0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,104 | $1,840 | 1.2× |
| CT head/brain without contrast (70450) | $869.40 | $1,449 | 7.9× |
| MRI brain without contrast (70551) | $1,804.20 | $3,007 | 7.1× |
| MRI brain with contrast (70552) | $1,685.40 | $2,809 | 4.6× |
| MRI brain without and with contrast (70553) | $2,644.20 | $4,407 | 7.2× |
| X-ray lower spine, 4+ views (72110) | $403.20 | $672 | 3.6× |
| MRI lumbar spine without contrast (72148) | $1,763.40 | $2,939 | 7.0× |
| CT pelvis with contrast (72193) | $1,015.80 | $1,693 | 5.5× |
| MRI lower-extremity joint without contrast (73721) | $1,789.20 | $2,982 | 7.1× |
| CT abdomen and pelvis with contrast (74177) | $2,459.40 | $4,099 | 6.7× |
| Ultrasound, abdomen complete (76700) | $706.80 | $1,178 | 6.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $508.20 | $847 | 4.6× |
| Ultrasound, transvaginal (76830) | $442.80 | $738 | 4.0× |
| Mammography, one breast (diagnostic) (77065) | $265.80 | $443 | 3.1× |
| Mammography, both breasts (diagnostic) (77066) | $352.20 | $587 | 3.2× |
| Mammography, screening (bilateral) (77067) | $321.60 | $536 | 3.5× |
| Basic metabolic panel (80048) | $74.40 | $124 | 8.8× |
| Comprehensive metabolic panel (80053) | $114.60 | $191 | 10.9× |
| Obstetric panel (80055) | $349.80 | $583 | 7.3× |
| Lipid panel (80061) | $129.60 | $216 | 9.7× |
| Renal function panel (80069) | $47.40 | $79 | 5.5× |
| Hepatic function panel (80076) | $46.20 | $77 | 5.7× |
| Urinalysis, non-automated, without microscopy (81002) | $12 | $20 | 3.4× |
| PSA, total (84153) | $90.60 | $151 | 4.9× |
| Thyroid stimulating hormone (TSH) (84443) | $97.20 | $162 | 5.8× |
| CBC with automated differential (85025) | $60 | $100 | 7.7× |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$38.40–$52.80 | $64–$88 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$34.20–$80.40 | $57–$134 | varies |
| Left heart catheterization (93452) | $7,012.20 | $11,687 | 2.0× |
| Sleep study (attended polysomnography) (95810) | $2,640 | $4,400 | 2.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $89.40 | $149 | 3.1× |
| Office consultation (low complexity, ~30 min) (99243) | $80.40 | $134 | 0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) | $109.20 | $182 | 0.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
More prices at this hospital
- Imaging: 384 codes with posted prices and Medicare benchmarks
- Lab & pathology: 774 codes with posted prices and Medicare benchmarks
- Visits & medical services: 218 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 664 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 71 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 157.5 MB) ↓ — captured 2026-10-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.