Pih Health Good Samaritan Hospital
Los Angeles, CA
Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-03.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $4,725 | $4,725 | 35.1× |
| MRI brain without contrast (70551) | $5,500 | $5,500 | 17.9× |
| MRI brain with contrast (70552) | $5,800 | $5,800 | 12.9× |
| MRI brain without and with contrast (70553) | $6,800 | $6,800 | 15.2× |
| X-ray lower spine, 4+ views (72110) | $1,458 | $1,458 | 10.8× |
| MRI lumbar spine without contrast (72148) | $5,500 | $5,500 | 17.9× |
| CT pelvis with contrast (72193) | $5,150 | $5,150 | 22.8× |
| MRI lower-extremity joint without contrast (73721) | $5,500 | $5,500 | 17.9× |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$7,650–$8,406 | $7,650–$8,406 | varies |
| Ultrasound, abdomen complete (76700) | $2,275 | $2,275 | 16.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$2,275–$2,735 | $2,275–$2,735 | varies |
| Ultrasound, transvaginal (76830) | $2,275 | $2,275 | 16.9× |
| Mammography, one breast (diagnostic) (77065) range across 12 matching MRF lines |
$254.80–$364 | $254.80–$364 | varies |
| Mammography, both breasts (diagnostic) (77066) | $735.70 | $735.70 | 6.7× |
| Mammography, screening (bilateral) (77067) range across 6 matching MRF lines |
$513.80–$734 | $513.80–$734 | varies |
| Basic metabolic panel (80048) | $618 | $618 | 73.0× |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$114.38–$766 | $114.38–$766 | varies |
| Obstetric panel (80055) | $1,339 | $1,339 | 28.0× |
| Lipid panel (80061) range across 6 matching MRF lines |
$25–$286 | $25–$286 | varies |
| Renal function panel (80069) | $661 | $661 | 76.2× |
| Hepatic function panel (80076) | $829 | $829 | 101.5× |
| Urinalysis, non-automated, without microscopy (81002) range across 4 matching MRF lines |
$33–$99 | $33–$99 | varies |
| PSA, total (84153) range across 9 matching MRF lines |
$3.50–$286 | $3.50–$286 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 5 matching MRF lines |
$4.75–$245 | $4.75–$245 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$325–$396.07 | $325–$396.07 | varies |
| CBC, automated (85027) | $131 | $131 | 20.2× |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$40–$257 | $40–$257 | varies |
| Partial thromboplastin time (PTT) (85730) range across 6 matching MRF lines |
$36.50–$319 | $36.50–$319 | varies |
| Left heart catheterization (93452) | $13,938 | $13,938 | 3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 16 matching MRF lines |
$191–$204 | $191–$204 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$278–$294 | $278–$294 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $351 | $351 | 2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 3 matching MRF lines |
$378–$462 | $378–$462 | varies |
| Office consultation (low complexity, ~30 min) (99243) | $278 | $278 | 1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) | $351 | $351 | 2.0× |
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: 352 codes with posted prices and Medicare benchmarks
- Lab & pathology: 767 codes with posted prices and Medicare benchmarks
- Visits & medical services: 230 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 25 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 14 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 662.7 MB) ↓ — captured 2026-09-03
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.