Mammography
Screening mammography, bilateral
CPT 77067
$836 - $984
from 4 insurers ยท median $836
Typical for a hospital with this service line
MedStar Health ยท Baltimore, MD
25
In-network payers
175
Disclosed rate categories
145
Beds
4
Care quality
Medstar Good Samaritan Hospital is a 145-bed voluntary non-profit - other hospital in Baltimore, MD, affiliated with MedStar Health. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 175 disclosed rate categories.
CCN (Medicare provider number)
210056
NPI
1811084718
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
145
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.




The 24 services Medstar Good Samaritan Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Mammography
CPT 77067
$836 - $984
from 4 insurers ยท median $836
Typical for a hospital with this service line
CT imaging
CPT 74177
$329 - $329
from 4 insurers ยท median $329
Typical for a hospital with this service line
Ultrasound
CPT 76642
$812 - $1,115
from 4 insurers ยท median $1,115
Typical for a hospital with this service line
Ultrasound
CPT 76705
$629 - $669
from 4 insurers ยท median $669
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,438 - $2,655
from 4 insurers ยท median $2,438
Hospital reports nuclear medicine services to CMS
X-ray and bone density
CPT 71046
$186 - $188
from 4 insurers ยท median $186
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$948 - $1,040
from 4 insurers ยท median $1,040
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,175 - $1,232
from 4 insurers ยท median $1,232
Typical for a hospital with this service line
Ultrasound
CPT 76830
$888 - $929
from 4 insurers ยท median $929
Typical for a hospital with this service line
Mammography
CPT 77066
$1,196 - $1,263
from 4 insurers ยท median $1,263
Typical for a hospital with this service line
Mammography
CPT 77065
$881 - $966
from 4 insurers ยท median $966
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,582 - $1,709
from 4 insurers ยท median $1,709
Typical for a hospital with this service line
Ultrasound
CPT 76536
$910 - $929
from 4 insurers ยท median $929
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,768
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 74183
$1,574 - $1,848
from 4 insurers ยท median $1,848
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,860
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$1,443 - $1,709
from 4 insurers ยท median $1,709
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,968
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$284 - $357
from 4 insurers ยท median $284
Typical for a hospital with this service line
Gynecology
CPT 58571
$11,783
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 72197
$1,527 - $1,831
from 4 insurers ยท median $1,831
Typical for a hospital with this service line
CT imaging
CPT 70450
$100 - $111
from 4 insurers ยท median $111
Typical for a hospital with this service line
MRI imaging
CPT 70551
$654 - $733
from 4 insurers ยท median $733
Typical for a hospital with this service line
CT imaging
CPT 71275
$313 - $317
from 4 insurers ยท median $313
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 20 | 572% | 0 | 0 |
| Insurer B* | 20 | 572% | 0 | 0 |
| Insurer C* | 20 | 572% | 0 | 0 |
| Insurer D* | 24 | 379% | 20 | 0 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Medstar Good Samaritan Hospital.
5601 Loch Raven Boulevard, Baltimore, MD 21239
(443) 444-3902
About Medstar Good Samaritan Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Medstar Good Samaritan Hospital range from $1,175 to $1,232 across 4 insurers. Cigna's rate is $1,232. The median at nearby comparable hospitals is $697. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Medstar Good Samaritan Hospital range from $329 to $329 across 4 insurers. Aetna's rate is $329. The median at nearby comparable hospitals is $334. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Medstar Good Samaritan Hospital range from $2,768 to $2,768 across 1 insurers. Aetna's rate is $2,768. The median at nearby comparable hospitals is $983. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Medstar Good Samaritan Hospital range from $836 to $984 across 4 insurers. UnitedHealthcare's rate is $836. The median at nearby comparable hospitals is $114. What a patient pays depends on their plan's deductible, coinsurance and network status.
Medstar Good Samaritan Hospital has 145 beds. Facility type: Short Term Acute Care Hospital.
Medstar Good Samaritan Hospital is located at 5601 Loch Raven Boulevard, Baltimore, MD 21239. Its main phone number is (443) 444-3902.
Medstar Good Samaritan Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 210056.
The National Provider Identifier (NPI) on file for Medstar Good Samaritan Hospital is 1811084718.
Medstar Good Samaritan Hospital is affiliated with MedStar Health.
Medstar Good Samaritan Hospital lists 25 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, Banner Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
175 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers