Good Samaritan Medical Center
West Palm Beach, FL
Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-13.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $5,962.50 | $7,950 | 54.6× |
| MRI brain without contrast (70551) | $8,457.75 | $11,277 | 33.9× |
| MRI brain with contrast (70552) | $8,155.50 | $10,874 | 22.4× |
| MRI brain without and with contrast (70553) | $11,603.25 | $15,471 | 31.8× |
| X-ray lower spine, 4+ views (72110) | $2,445 | $3,260 | 22.4× |
| MRI lumbar spine without contrast (72148) | $8,840.25 | $11,787 | 35.5× |
| CT pelvis with contrast (72193) | $13,098 | $17,464 | 71.5× |
| MRI lower-extremity joint without contrast (73721) | $8,749.50 | $11,666 | 35.1× |
| CT abdomen and pelvis with contrast (74177) | $16,951.50 | $22,602 | 46.5× |
| Ultrasound, abdomen complete (76700) | $4,699.50 | $6,266 | 43.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $2,796 | $3,728 | 25.6× |
| Ultrasound, transvaginal (76830) | $2,607.75 | $3,477 | 23.9× |
| Mammography, one breast (diagnostic) (77065) | $888 | $1,184 | 10.3× |
| Mammography, both breasts (diagnostic) (77066) | $993 | $1,324 | 9.0× |
| Mammography, screening (bilateral) (77067) | $1,222.50 | $1,630 | 13.4× |
| Basic metabolic panel (80048) | $1,115.25 | $1,487 | 131.8× |
| Comprehensive metabolic panel (80053) | $1,463.25 | $1,951 | 138.6× |
| Lipid panel (80061) | $324.64 | $432.84 | 24.2× |
| Renal function panel (80069) | $770.25 | $1,027 | 88.7× |
| Hepatic function panel (80076) | $1,068 | $1,424 | 130.7× |
| Urinalysis, non-automated, without microscopy (81002) | $125.25 | $167 | 36.0× |
| PSA, total (84153) | $12.18 | $16.24 | 0.7× |
| Thyroid stimulating hormone (TSH) (84443) | $199.39 | $265.86 | 11.9× |
| CBC with automated differential (85025) | $766.50 | $1,022 | 98.6× |
| CBC, automated (85027) | $475.50 | $634 | 73.5× |
| Prothrombin time (PT) (85610) | $126.29 | $168.38 | 29.4× |
| Partial thromboplastin time (PTT) (85730) | $14.22 | $18.96 | 2.4× |
| Electrocardiogram (ECG), complete (93000) | $231 | $308 | 3.8× |
| Sleep study (attended polysomnography) (95810) | $13,432.50 | $17,910 | 15.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $374.25 | $499 | 12.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $770.25 | $1,027 | 5.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $907.50 | $1,210 | 6.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $1,179.75 | $1,573 | 8.5× |
More prices at this hospital
- Imaging: 358 codes with posted prices and Medicare benchmarks
- Lab & pathology: 722 codes with posted prices and Medicare benchmarks
- Visits & medical services: 156 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 4 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 17 codes with posted prices and Medicare benchmarks