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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Medstar Good Samaritan Hospital

MedStar Health ยท Baltimore, MD

5601 Loch Raven Boulevard, Baltimore, MD 21239(443) 444-3902

25

In-network payers

175

Disclosed rate categories

145

Beds

4

Care quality

About this hospital

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 Accepted

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.

Medicare
Aetna
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansBanner HealthEMI HealthGroup Health Cooperative of South Central WisconsinHarvard Pilgrim Health Care (Point32Health)

Prices for common services

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

Screening mammography, bilateral

CPT 77067

$836 - $984

from 4 insurers ยท median $836

UnitedHealthcare$836
Insurer A*$836
Insurer B*$836
Insurer C*$984
Medicare $92Nearby hospitals $114634% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$329 - $329

from 4 insurers ยท median $329

Aetna$329
Insurer A*$329
Insurer B*$329
Insurer C*$329
Medicare $356Nearby hospitals $334In line with nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of one breast

CPT 76642

$812 - $1,115

from 4 insurers ยท median $1,115

Aetna$812
Insurer A*$1,115
Insurer B*$1,115
Insurer C*$1,115
Medicare $89Nearby hospitals $311258% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$629 - $669

from 4 insurers ยท median $669

Aetna$629
Insurer A*$669
Insurer B*$669
Insurer C*$669
Medicare $107Nearby hospitals $52727% above nearby hospitals

Typical for a hospital with this service line

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$2,438 - $2,655

from 4 insurers ยท median $2,438

CareFirst$2,438
Insurer A*$2,438
Insurer B*$2,438
Insurer C*$2,655
Medicare $1,323Nearby hospitals $1,168109% above nearby hospitals

Hospital reports nuclear medicine services to CMS

X-ray and bone density

Chest X-ray, two views

CPT 71046

$186 - $188

from 4 insurers ยท median $186

Cigna$186
Insurer A*$186
Insurer B*$186
Insurer C*$188
Medicare $89Nearby hospitals $10086% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$948 - $1,040

from 4 insurers ยท median $1,040

CareFirst$1,040
Insurer A*$948
Insurer B*$1,040
Insurer C*$1,040
Medicare $107Nearby hospitals $80629% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$1,175 - $1,232

from 4 insurers ยท median $1,232

Cigna$1,232
Insurer A*$1,175
Insurer B*$1,232
Insurer C*$1,232
Medicare $356Nearby hospitals $69777% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Transvaginal pelvic ultrasound

CPT 76830

$888 - $929

from 4 insurers ยท median $929

Aetna$888
Insurer A*$929
Insurer B*$929
Insurer C*$929
Medicare $107Nearby hospitals $72029% above nearby hospitals

Typical for a hospital with this service line

Mammography

Diagnostic mammography, bilateral

CPT 77066

$1,196 - $1,263

from 4 insurers ยท median $1,263

UnitedHealthcare$1,263
Insurer A*$1,196
Insurer B*$1,263
Insurer C*$1,263
Medicare $112Nearby hospitals $140802% above nearby hospitals

Typical for a hospital with this service line

Mammography

Diagnostic mammography, unilateral

CPT 77065

$881 - $966

from 4 insurers ยท median $966

UnitedHealthcare$966
Insurer A*$881
Insurer B*$966
Insurer C*$966
Medicare $87Nearby hospitals $103839% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete ultrasound of veins in both arms or both legs

CPT 93970

$1,582 - $1,709

from 4 insurers ยท median $1,709

CareFirst$1,709
Insurer A*$1,582
Insurer B*$1,709
Insurer C*$1,709
Medicare $244Nearby hospitals $96876% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Ultrasound of head or neck soft tissues

CPT 76536

$910 - $929

from 4 insurers ยท median $929

Aetna$910
Insurer A*$929
Insurer B*$929
Insurer C*$929
Medicare $107Nearby hospitals $50086% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$2,768

negotiated rate

Aetna$2,768
Medicare $1,223Nearby hospitals $983182% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the abdomen, before and after contrast

CPT 74183

$1,574 - $1,848

from 4 insurers ยท median $1,848

Cigna$1,848
Insurer A*$1,574
Insurer B*$1,848
Insurer C*$1,848
Medicare $356Nearby hospitals $835121% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$1,860

negotiated rate

Aetna$1,860
Medicare $927Nearby hospitals $763144% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete ultrasound of blood vessels in both sides of the neck

CPT 93880

$1,443 - $1,709

from 4 insurers ยท median $1,709

CareFirst$1,709
Insurer A*$1,443
Insurer B*$1,709
Insurer C*$1,709
Medicare $244Nearby hospitals $98574% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$1,968

negotiated rate

Aetna$1,968
Medicare $1,223Nearby hospitals $898119% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$284 - $357

from 4 insurers ยท median $284

CareFirst$284
Insurer A*$284
Insurer B*$284
Insurer C*$357
Medicare $558Nearby hospitals $34718% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$11,783

negotiated rate

Aetna$11,783
Medicare $10,860Nearby hospitals $7,37060% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the pelvis, before and after contrast

CPT 72197

$1,527 - $1,831

from 4 insurers ยท median $1,831

Cigna$1,831
Insurer A*$1,527
Insurer B*$1,831
Insurer C*$1,831
Medicare $356Nearby hospitals $299513% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$100 - $111

from 4 insurers ยท median $111

Aetna$100
Insurer A*$111
Insurer B*$111
Insurer C*$111
Medicare $107Nearby hospitals $9913% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$654 - $733

from 4 insurers ยท median $733

Cigna$733
Insurer A*$654
Insurer B*$733
Insurer C*$733
Medicare $244Nearby hospitals $59024% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$313 - $317

from 4 insurers ยท median $313

Aetna$317
Insurer A*$313
Insurer B*$313
Insurer C*$313
Medicare $179Nearby hospitals $314In line with nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Medstar Good Samaritan Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*20
572%
00
Insurer B*20
572%
00
Insurer C*20
572%
00
Insurer D*24
379%
200

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.

Location

5601 Loch Raven Boulevard, Baltimore, MD 21239

(443) 444-3902

Get directions

Frequently asked questions

About Medstar Good Samaritan Hospital's rates and hospital price transparency.

How much does an MRI cost at Medstar Good Samaritan Hospital?

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.

How much does a CT scan cost at Medstar Good Samaritan Hospital?

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.

How much does a colonoscopy cost at Medstar Good Samaritan Hospital?

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.

How much does a mammogram cost at Medstar Good Samaritan Hospital?

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.

How many beds does Medstar Good Samaritan Hospital have?

Medstar Good Samaritan Hospital has 145 beds. Facility type: Short Term Acute Care Hospital.

Where is Medstar Good Samaritan Hospital and what is its phone number?

Medstar Good Samaritan Hospital is located at 5601 Loch Raven Boulevard, Baltimore, MD 21239. Its main phone number is (443) 444-3902.

What is Medstar Good Samaritan Hospital's CCN (Medicare provider number)?

Medstar Good Samaritan Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 210056.

What is Medstar Good Samaritan Hospital's NPI number?

The National Provider Identifier (NPI) on file for Medstar Good Samaritan Hospital is 1811084718.

What health system is Medstar Good Samaritan Hospital part of?

Medstar Good Samaritan Hospital is affiliated with MedStar Health.

Which insurance plans are in network at Medstar Good Samaritan Hospital?

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.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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