Los Angeles → Pih Health Good Samaritan Hospital
Pih Health Good Samaritan Hospital
goodsamsanjose.com · Los Angeles
C
Price transparency:
15 of 58 common services carry a self-pay price
15
services with a self-pay price
58
services with any published price
58
services we look for
Every price this hospital publishes
click a procedure to compare across the metro| Procedure | Self-pay | List price | Insurers pay |
|---|---|---|---|
| Abdominal ultrasound Ultrasound abdomen complete | $3,629–$7,061 varies | $7,061 | $72–$7,061 |
| Chest X-ray Chest X-ray, 2 views | $2,705 | $2,705 | $18–$5,074 |
| CT scan of the abdomen and pelvis CT abdomen/pelvis with contrast | $44,564 | $44,564 | $203–$44,564 |
| CT scan of the chest CT chest without contrast | $22,592 | $22,592 | $79–$22,592 |
| CT scan of the head CT head without contrast | $19,448 | $19,448 | $63–$19,448 |
| CT scan of the pelvis CT pelvis with contrast | $20,571 | $20,571 | $168–$20,571 |
| Echocardiogram (heart ultrasound) Echocardiogram complete | $4,553–$16,541 varies | $4,553 | $177–$16,541 |
| EKG (heart rhythm test) Electrocardiogram (ECG) | billed by the doctor | — | $15–$204 |
| MRI of the brain MRI brain without contrast | $20,680 | $20,680 | $121–$20,680 |
| MRI of the brain, with and without contrast MRI brain with/without contrast | $27,327–$39,916 varies | $32,724 | $203–$39,916 |
| MRI of the knee MRI knee without contrast | $18,083–$27,123 varies | $25,339 | $133–$27,123 |
| MRI of the lower back MRI lumbar spine without contrast | $22,183 | $22,183 | $117–$22,183 |
| Pregnancy ultrasound Ultrasound pregnancy | $6,670 | $6,670 | $81–$6,670 |
| Screening mammogram Screening mammogram, bilateral | $1,508–$2,620 varies | $2,326 | $84–$5,074 |
| Sleep study Sleep study (polysomnography) | not published | — | $275–$6,239 |
| Transvaginal ultrasound Ultrasound transvaginal | $5,168 | $5,168 | $71–$5,168 |
| X-ray of the lower back X-ray lower spine | not published | — | $35–$5,074 |
| X-ray of the shoulder X-ray shoulder | $2,648–$3,983 varies | $2,648 | $23–$5,074 |
| A1c diabetes blood test Hemoglobin A1c | $18–$745 varies | $18 | $3–$745 |
| Basic metabolic panel (blood test) Basic metabolic panel | $2,184 | $2,184 | $8–$2,184 |
| Blood clotting time (PT/INR) Prothrombin time | $6–$929 varies | $38 | $1–$929 |
| Blood clotting time (PTT) Partial thromboplastin time | $5–$1,068 varies | $53 | $1–$1,068 |
| Cholesterol panel Lipid panel | $19–$1,409 varies | $1,409 | $3–$1,409 |
| Complete blood count (CBC) CBC with differential | not published | — | $8–$81 |
| Comprehensive metabolic panel (blood test) Comprehensive metabolic panel | $3,215 | $3,215 | $11–$3,215 |
| Liver function blood test Hepatic function panel | $2,030 | $2,030 | $8–$2,030 |
| PSA prostate blood test PSA (prostate screen) | $3–$28 varies | $28 | $0–$191 |
| Thyroid (TSH) blood test TSH (thyroid) | $14–$1,901 varies | $1,901 | $2–$1,901 |
| Urine test with microscope Urinalysis with microscopy | $1,073 | $1,073 | $3–$1,073 |
| Cataract surgery with lens implant Cataract surgery w/ lens implant | not published | — | $172–$22,079 |
| Colonoscopy Colonoscopy diagnostic | not published | — | $29–$14,449 |
| Colonoscopy with biopsy Colonoscopy w/ biopsy | not published | — | $14–$14,449 |
| Colonoscopy with polyp removal Colonoscopy w/ polyp removal | not published | — | $14–$14,449 |
| C-section delivery Cesarean section without CC/MCC | not published | — | $750–$18,680 |
| Draining an abscess Incision & drainage of abscess | not published | — | $22–$7,317 |
| Emergency room visit, moderate Emergency department visit, moderate | $7,104 | $7,104 | $64–$7,104 |
| Epidural steroid injection, lower back Epidural injection lumbar w/ imaging | not published | — | $18–$7,317 |
| Follow-up office visit Established patient office visit, 20-29 min | $1,052–$1,824 varies | $1,052 | $28–$1,824 |
| Gallbladder removal Gallbladder removal laparoscopic | not published | — | $179–$22,079 |
| Hernia repair Inguinal hernia repair | not published | — | $50–$18,309 |
| Hip or knee replacement Major joint replacement (hip/knee), no MCC | not published | — | $750–$54,166 |
| Joint injection Joint injection (major joint) | not published | — | $20–$7,317 |
| Knee arthroscopy (meniscus) Knee arthroscopy w/ meniscectomy | not published | — | $93–$18,309 |
| Laser treatment after cataract surgery YAG laser capsulotomy | not published | — | $43–$14,449 |
| Nerve root injection, lower back Transforaminal epidural, lumbar | not published | — | $10–$7,317 |
| New patient office visit New patient office visit, 30-44 min | $1,286–$2,235 varies | $1,756 | $82–$2,235 |
| Physical therapy session Physical therapy, therapeutic exercise | $449–$744 varies | $738 | $13–$744 |
| Prostate biopsy Prostate biopsy | not published | — | $29–$14,449 |
| Removal of a breast lump Excision of breast lesion | not published | — | $57–$17,393 |
| Shoulder arthroscopy Shoulder arthroscopy w/ decompression | not published | — | $86–$17,393 |
| Stitches for a simple cut Simple wound repair | not published | — | $17–$7,317 |
| Therapy session, 60 minutes Psychotherapy, 60 minutes | $2,069 | $2,069 | $98–$2,069 |
| Tonsil and adenoid removal (under 12) Tonsillectomy w/ adenoidectomy, under 12 | not published | — | $52–$17,393 |
| Upper endoscopy Upper GI endoscopy diagnostic | not published | — | $22–$7,848 |
| Upper endoscopy with biopsy Upper GI endoscopy w/ biopsy | not published | — | $22–$14,449 |
| Vaginal delivery, full maternity care Vaginal delivery, global obstetric care | not published | — | $50–$9,703 |
| Vaginal delivery (hospital stay) Vaginal delivery without CC/MCC | not published | — | $750–$17,518 |
| Vasectomy Vasectomy | not published | — | $36–$14,449 |
Read from the file Pih Health Good Samaritan Hospital publishes, last read 6 August 2026. We scanned 432676 rows to find these 58 procedures. 346 payer rows carried a percentage rather than a dollar amount and are not included in the negotiated ranges — a percentage of a charge is not a price until the charge is known.