Hospitals · Good Samaritan Hospital
Good Samaritan Hospital: procedure prices
2425 Samaritan Dr, San Jose, CA 95124 · part of HCA Far West (Bay Area). Median prices below are computed from the hospital's own price transparency file.
| Procedure | Gross charge | Cash price | Commercial median | Range | # rates |
|---|---|---|---|---|---|
| Cardiac stress test | $5,596 | $5,596 | $2,469 | $110–$10,598 | 71 |
| EKG (electrocardiogram) | — | — | $204 | $33–$204 | 3 |
| Echocardiogram | $10,547 | $10,547 | $3,849 | $915–$16,541 | 48 |
| Nerve conduction / EMG study | — | — | $457 | $457 | 2 |
| Sleep study (overnight in lab) | — | — | $5,199 | $3,396–$6,762 | 12 |
| Colonoscopy | — | — | $5,312 | $2,638–$14,449 | 45 |
| Upper endoscopy (EGD) | — | — | $5,002 | $1,377–$14,449 | 30 |
| Abdomen and pelvis CT (with contrast) | $44,564 | $44,564 | $1,655 | $203–$11,364 | 23 |
| Abdominal ultrasound | $5,345 | $5,345 | $2,903 | $82–$6,002 | 49 |
| Bone density scan (DEXA) | $992 | $992 | $249 | $156–$992 | 38 |
| Brain MRI (with and without contrast) | $32,724 | $32,724 | $3,358 | $317–$17,762 | 22 |
| Brain MRI (without contrast) | $20,680 | $20,680 | $1,018 | $188–$5,273 | 17 |
| CT angiogram (chest) | $22,437 | $22,437 | $1,544 | $192–$5,721 | 23 |
| Chest X-ray | $2,705 | $2,705 | $182 | $51–$2,705 | 44 |
| Head CT scan (without contrast) | $19,448 | $19,448 | $585 | $94–$5,074 | 20 |
| Knee MRI | $25,339 | $25,339 | $6,916 | $206–$16,470 | 37 |
| Lower back MRI (lumbar spine) | $22,183 | $22,183 | $1,053 | $181–$5,657 | 23 |
| PET/CT scan | — | — | $5,074 | $1,808–$15,810 | 14 |
| Pregnancy ultrasound | $6,670 | $6,670 | $838 | $91–$5,669 | 36 |
| Screening mammogram | $2,220 | $2,220 | $1,207 | $88–$2,620 | 90 |
| Blood sugar test (hemoglobin A1c) | $709 | $709 | $14 | $4–$190 | 44 |
| Cholesterol test (lipid panel) | $714 | $714 | $15 | $4–$359 | 42 |
| Complete blood count (CBC) | — | — | $14 | $8–$81 | 25 |
| Comprehensive metabolic panel | $3,215 | $3,215 | $21 | $11–$110 | 35 |
| PSA test | $15 | $15 | $21 | $2–$191 | 51 |
| Thyroid test (TSH) | $28 | $28 | $20 | $3–$485 | 57 |
| Vitamin D test | $230 | $230 | $138 | $3–$473 | 70 |
| C-section delivery | — | — | $12,649 | $3,600–$18,680 | 30 |
| Childbirth (vaginal delivery) | — | — | $10,132 | $3,600–$17,518 | 29 |
| ACL reconstruction | — | — | $10,664 | $4,829–$17,716 | 15 |
| Appendectomy | — | — | $8,390 | $4,829–$17,914 | 14 |
| Carpal tunnel release | — | — | $5,606 | $2,638–$14,449 | 15 |
| Cataract surgery | — | — | $9,414 | $4,946–$22,079 | 15 |
| Gallbladder removal surgery | — | — | $15,661 | $5,163–$25,398 | 28 |
| Hernia repair surgery (inguinal) | — | — | $7,323 | $3,439–$18,309 | 15 |
| Hip replacement | — | — | $31,617 | $6,658–$54,166 | 37 |
| Tonsillectomy | — | — | $7,505 | $3,250–$22,079 | 45 |
| Total knee replacement | — | — | $31,617 | $6,658–$54,166 | 37 |
| Vasectomy | — | — | $5,606 | $2,638–$14,449 | 15 |
| Joint injection (cortisone shot) | — | — | $3,743 | $2,239–$7,317 | 14 |
| Physical therapy session | $741 | $741 | $322 | $32–$2,637 | 139 |
| Emergency room visit | $13,840 | $13,840 | $9,202 | $1,812–$21,255 | 103 |
| Urgent care / office visit (new patient) | $1,434 | $1,434 | $911 | $39–$2,958 | 360 |
SOURCE: Good Samaritan Hospital standard-charges file dated 2026-03-01 · retrieved 2026-08-15 · 62-1763090_GOOD-SAMARITAN-HOSPITAL_standardcharges.j · CMS v3.0.0