Does Good Samaritan Hospital publish its standard charges and chargemaster?

Yes. Good Samaritan Hospital publishes a machine-readable file with 4,235 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Good Samaritan Hospital charge for procedures?

Good Samaritan Hospital (Cincinnati, OH) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · OH · CCN 360134

Good Samaritan Hospital

Cincinnati, OH, 45220

362 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

4,235

last crawl 2026-05-24

Procedures tracked

146

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All OH hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://apps.trihealth.com/static/pricing/310537486_THEGOODSAMARITANHOSPITAL_STANDARDCHARGES.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	17	—	—	$12,567	$17,341	1.4×	$36,192
Psychiatric diagnostic evaluation	CPT	90791	0	$633.92	$475.44	—	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$582.4	$436.8	—	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$366.24	$274.68	—	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$470.4	$352.8	—	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$519.68	$389.76	—	—	—	—
Crisis psychotherapy 60 minutes	CPT	90839	0	$495.04	$371.28	—	—	—	—
emergency
ED visit level 1	CPT	99281	0	$652.05	$489.04	—	—	—	—
ED visit level 2	CPT	99282	0	$710	$532.5	—	—	—	—
ED visit level 3	CPT	99283	0	$2,121.75	$1,591.31	—	—	—	—
ED visit level 4	CPT	99284	0	$2,691	$2,018.25	—	—	—	—
ED visit level 5	CPT	99285	0	$3,250	$2,437.5	—	—	—	—
Critical care, first hour	CPT	99291	0	$4,400	$3,300	—	—	—	—
imaging
CT head without contrast	CPT	70450	0	$403.99	$302.99	—	—	—	—
CT head with contrast	CPT	70460	0	$403.99	$302.99	—	—	—	—
CT head with and without contrast	CPT	70470	0	$403.99	$302.99	—	—	—	—
CT neck with contrast	CPT	70491	0	$403.99	$302.99	—	—	—	—
MRI brain without contrast	CPT	70551	0	$659.6	$494.7	—	—	—	—
MRI brain with contrast	CPT	70552	0	$659.6	$494.7	—	—	—	—
MRI brain with and without contrast	CPT	70553	0	$659.6	$494.7	—	—	—	—
Chest X-ray single view	CPT	71045	0	$289.14	$216.86	—	—	—	—
Chest X-ray 2 views	CPT	71046	0	$347.97	$260.98	—	—	—	—
Chest X-ray 3 views	CPT	71047	0	$470.61	$352.96	—	—	—	—
CT chest without contrast	CPT	71250	0	$403.99	$302.99	—	—	—	—
CT chest with contrast	CPT	71260	0	$403.99	$302.99	—	—	—	—
CT chest with and without contrast	CPT	71270	0	$403.99	$302.99	—	—	—	—
MRI chest without contrast	CPT	71550	0	$659.6	$494.7	—	—	—	—
MRI chest with contrast	CPT	71551	0	$699.73	$524.8	—	—	—	—
MRI chest with and without contrast	CPT	71552	0	$659.6	$494.7	—	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$502.72	$377.04	—	—	—	—
CT cervical spine without contrast	CPT	72125	0	$403.99	$302.99	—	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$403.99	$302.99	—	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$403.99	$302.99	—	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$659.6	$494.7	—	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$659.6	$494.7	—	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$659.6	$494.7	—	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$659.6	$494.7	—	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$659.6	$494.7	—	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$659.6	$494.7	—	—	—	—
CT pelvis without contrast	CPT	72192	0	$403.99	$302.99	—	—	—	—
CT pelvis with contrast	CPT	72193	0	$403.99	$302.99	—	—	—	—
Shoulder X-ray	CPT	73030	0	$450.63	$337.97	—	—	—	—
Humerus X-ray	CPT	73060	0	$415.46	$311.59	—	—	—	—
Hand X-ray 3 views	CPT	73130	0	$462.35	$346.76	—	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$659.6	$494.7	—	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$659.6	$494.7	—	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$376.39	$282.29	—	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$509.23	$381.92	—	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$659.6	$494.7	—	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$659.6	$494.7	—	—	—	—
CT abdomen without contrast	CPT	74150	0	$403.99	$302.99	—	—	—	—
CT abdomen with contrast	CPT	74160	0	$403.99	$302.99	—	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$403.99	$302.99	—	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$807.98	$605.98	—	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$807.98	$605.98	—	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$807.98	$605.98	—	—	—	—
MRI abdomen without contrast	CPT	74181	0	$659.6	$494.7	—	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$659.6	$494.7	—	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$936.58	$702.44	—	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$746.59	$559.94	—	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$842.11	$631.58	—	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$770	$577.5	—	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$858	$643.5	—	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$1,155	$866.25	—	—	—	—
Transvaginal ultrasound	CPT	76830	0	$761.2	$570.9	—	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$729.14	$546.86	—	—	—	—
Scrotal ultrasound	CPT	76870	0	$825.66	$619.24	—	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$368.48	$276.36	—	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$523.04	$392.28	—	—	—	—
Screening mammography bilateral	CPT	77067	0	$415.3	$311.48	—	—	—	—
EKG tracing only	CPT	93005	0	$222.64	$166.98	—	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$2,090	$1,567.5	—	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$1,564.31	$1,173.23	—	—	—	—
Stress echocardiogram	CPT	93350	0	$3,573.42	$2,680.06	—	—	—	—
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	17	—	—	$17,400	$24,464	1.2×	$50,113
Intracranial hemorrhage/CVA w CC	MS-DRG	065	17	—	—	$9,525.21	$12,545	1.2×	$27,433
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	17	—	—	$6,960.55	$8,498.54	1.1×	$20,046
Respiratory infections & inflammations w MCC	MS-DRG	177	17	—	—	$13,872	$19,265	1.2×	$39,952
COPD w MCC	MS-DRG	190	17	—	—	$10,292	$13,755	1.2×	$29,640
COPD w CC	MS-DRG	191	17	—	—	$8,208.65	$10,468	1.2×	$23,641
COPD w/o CC/MCC	MS-DRG	192	17	—	—	$6,626.89	$7,972.04	1.1×	$19,085
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	—	—	$7,916.69	$10,007	1.2×	$22,800
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	17	—	—	$6,520.65	$7,804.4	1.2×	$18,779
AMI discharged alive w MCC	MS-DRG	280	17	—	—	$14,198	$19,745	1.3×	$40,891
AMI discharged alive w CC	MS-DRG	281	17	—	—	$8,807.52	$11,413	1.2×	$25,366
AMI discharged alive w/o CC/MCC	MS-DRG	282	17	—	—	$7,265.1	$8,979.1	1.2×	$20,923
Heart failure & shock w MCC	MS-DRG	291	17	—	—	$11,678	$15,942	1.2×	$33,631
Heart failure & shock w CC	MS-DRG	292	17	—	—	$8,255.87	$10,542	1.2×	$23,777
Heart failure & shock w/o CC/MCC	MS-DRG	293	17	—	—	$6,028.81	$7,028.31	1.1×	$17,363
Cardiac arrhythmia w MCC	MS-DRG	308	17	—	—	$11,050	$14,951	1.2×	$31,823
Cardiac arrhythmia w CC	MS-DRG	309	17	—	—	$7,364.26	$9,135.56	1.2×	$21,209
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	—	—	$6,029.59	$7,029.55	1.1×	$17,365
GI hemorrhage w CC	MS-DRG	378	17	—	—	$9,292.28	$12,178	1.2×	$26,762
GI hemorrhage w/o CC/MCC	MS-DRG	379	17	—	—	$6,535.6	$7,827.99	1.1×	$18,823
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	17	—	—	$7,709.73	$9,680.69	1.2×	$22,204
Fractures of femur w/o MCC	MS-DRG	533	17	—	—	$13,912	$19,323	1.3×	$40,066
Kidney/UTI w MCC	MS-DRG	689	17	—	—	$10,706	$14,408	1.2×	$30,832
Kidney/UTI w/o MCC	MS-DRG	690	17	—	—	$7,945.02	$10,052	1.2×	$22,882
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	17	—	—	$16,861	$23,670	1.3×	$48,560
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	17	—	—	$9,627.51	$12,707	1.2×	$27,727
lab
Basic metabolic panel (BMP)	CPT	80048	0	$31.94	$23.96	—	—	—	—
Electrolyte panel	CPT	80051	0	$31.94	$23.96	—	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$48.13	$36.1	—	—	—	—
Lipid panel	CPT	80061	0	$61.01	$45.76	—	—	—	—
Renal function panel	CPT	80069	0	$39.57	$29.68	—	—	—	—
Hepatic function panel	CPT	80076	0	$37.27	$27.95	—	—	—	—
Urinalysis non-automated	CPT	81002	0	$14.27	$10.7	—	—	—	—
Urinalysis automated	CPT	81003	0	$10.21	$7.66	—	—	—	—
Glucose quantitative	CPT	82947	0	$17.92	$13.44	—	—	—	—
Hemoglobin A1c	CPT	83036	0	$44.24	$33.18	—	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$76.55	$57.41	—	—	—	—
Complete blood count with automated differential	CPT	85025	0	$35.38	$26.54	—	—	—	—
Complete blood count without differential	CPT	85027	0	$29.44	$22.08	—	—	—	—
Urine culture bacterial	CPT	87086	0	$36.78	$27.58	—	—	—	—
Urine culture identification	CPT	87088	0	$36.78	$27.58	—	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$162.77	$122.08	—	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$475	$356.25	—	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$2,420	$1,815	—	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$2,813	$2,109.75	—	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$2,735	$2,051.25	—	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$2,735	$2,051.25	—	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$2,466	$1,849.5	—	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$3,490	$2,617.5	—	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$3,732	$2,799	—	—	—	—
surgery
Major small/large bowel procedures w MCC	MS-DRG	329	17	—	—	$37,747	$54,449	1.3×	$108,710
Major small/large bowel procedures w CC	MS-DRG	330	17	—	—	$20,439	$28,943	1.2×	$58,865
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	17	—	—	$14,818	$20,659	1.3×	$42,676
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	17	—	—	$14,887	$20,760	1.3×	$42,874
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	17	—	—	$12,323	$16,960	1.3×	$35,490
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	17	—	—	$28,387	$40,655	1.3×	$81,754
Major joint replacement w MCC	MS-DRG	469	17	—	—	$25,444	$36,319	1.2×	$73,280
Major joint replacement w/o MCC	MS-DRG	470	17	—	—	$16,754	$24,293	1.3×	$48,252
Hip & femur procedures except major joint w MCC	MS-DRG	480	17	—	—	$24,493	$34,917	1.2×	$70,540
Hip & femur procedures except major joint w CC	MS-DRG	481	17	—	—	$18,057	$25,432	1.3×	$52,005
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	17	—	—	$14,410	$20,057	1.3×	$41,500
OR procedure for obesity w MCC	MS-DRG	619	17	—	—	$24,297	$34,628	1.3×	$69,975
OR procedure for obesity w CC	MS-DRG	620	17	—	—	$14,168	$19,701	1.2×	$40,804
OR procedure for obesity w/o CC/MCC	MS-DRG	621	17	—	—	$13,445	$18,635	1.2×	$38,722
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	17	—	—	$11,338	$15,406	1.3×	$32,654
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	17	—	—	$17,700	$24,906	1.3×	$50,976
PCI single major coronary artery	CPT	92920	0	$11,860	$8,894.87	—	—	—	—
PCI with drug-eluting stent	CPT	92928	0	$13,498	$10,124	—	—	—	—
PCI bypass graft	CPT	92937	0	$24,183	$18,137	—	—	—	—
Left heart catheterization	CPT	93452	0	$12,250	$9,187.81	—	—	—	—
Coronary angiography with cath	CPT	93455	0	$11,223	$8,417.49	—	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	$15,320	$11,490	—	—	—	—

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 17)

Payer	Codes covered	Median rate
Aetna	43	$14,834
Blue Cross Blue Shield	43	$17,775
buckeye	43	$14,309
CareSource	43	$11,678
Cigna	43	$19,665
custom design benefits	43	$29,806
essence healthcare	43	$11,678
Humana	43	$11,678
imagine health	43	$28,006
medben	43	$33,143
medical mutual of ohio	43	$18,054
medigold	43	$11,678
Molina	43	$11,678
optum	43	$11,678
oscar	43	$14,804
UnitedHealthcare	43	$15,820
WellCare	43	$12,028

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