Hospitals · Legacy Good Samaritan Medical Center
Legacy Good Samaritan Medical Center: procedure prices
1015 NW 22nd Ave, Portland, OR 97210 · part of Legacy Health. 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 | $205 | $133 | $928 | $480–$1,046 | 5 |
| EKG (electrocardiogram) | $40 | $26 | — | — | 0 |
| Echocardiogram | $543 | $353 | $1,900 | $1,215–$2,349 | 5 |
| Nerve conduction / EMG study | $485 | $315 | $1,207 | $713–$2,006 | 10 |
| Sleep study (overnight in lab) | $1,800 | $1,170 | $3,074 | $1,909–$3,755 | 12 |
| Colonoscopy | $1,199 | $779 | $5,144 | $2,067–$7,569 | 33 |
| Upper endoscopy (EGD) | $915 | $595 | $4,064 | $2,016–$7,569 | 22 |
| Abdomen and pelvis CT (with contrast) | $738 | $480 | $1,076 | $386–$1,578 | 11 |
| Abdominal ultrasound | $217 | $141 | $316 | $135–$463 | 11 |
| Bone density scan (DEXA) | $347 | $226 | $304 | $65–$463 | 10 |
| Brain MRI (with and without contrast) | $3,706 | $2,409 | $1,076 | $378–$1,578 | 11 |
| Brain MRI (without contrast) | $1,820 | $1,183 | $652 | $228–$1,026 | 11 |
| CT angiogram (chest) | $1,512 | $983 | $514 | $352–$1,198 | 11 |
| Chest X-ray | $65 | $42 | $231 | $51–$374 | 10 |
| Head CT scan (without contrast) | $824 | $536 | $316 | $120–$463 | 11 |
| Knee MRI | $1,602 | $1,042 | $657 | $250–$1,026 | 11 |
| Lower back MRI (lumbar spine) | $1,159 | $753 | $652 | $218–$1,026 | 11 |
| PET/CT scan | $5,520 | $3,588 | $4,131 | $3,179–$6,147 | 14 |
| Pregnancy ultrasound | $310 | $202 | $316 | $152–$519 | 11 |
| Screening mammogram | $473 | $307 | $256 | $162–$551 | 8 |
| Blood sugar test (hemoglobin A1c) | $11 | $7 | $24 | $18–$38 | 8 |
| Cholesterol test (lipid panel) | $17 | $11 | $33 | $25–$52 | 8 |
| Complete blood count (CBC) | $23 | $15 | $19 | $15–$30 | 8 |
| Comprehensive metabolic panel | $22 | $14 | $26 | $20–$41 | 8 |
| PSA test | $19 | $13 | $45 | $34–$71 | 8 |
| Thyroid test (TSH) | $54 | $35 | $41 | $31–$65 | 8 |
| Vitamin D test | $65 | $42 | $72 | $55–$114 | 8 |
| C-section delivery | $7,563 | $4,916 | $19,506 | $7,920–$26,367 | 14 |
| Childbirth (vaginal delivery) | $6,809 | $4,426 | $13,725 | $7,920–$18,540 | 14 |
| ACL reconstruction | $2,768 | $1,799 | $16,131 | $8,991–$31,193 | 11 |
| Appendectomy | $1,710 | $1,112 | $13,624 | $10,243–$25,989 | 11 |
| Carpal tunnel release | $1,283 | $834 | $6,784 | $4,275–$11,261 | 11 |
| Cataract surgery | $1,719 | $1,117 | $9,921 | $5,130–$15,979 | 11 |
| Gallbladder removal surgery | $1,876 | $1,219 | $20,708 | $13,440–$37,560 | 23 |
| Hernia repair surgery (inguinal) | $1,490 | $968 | $12,835 | $7,959–$16,328 | 11 |
| Hip replacement | $3,640 | $2,366 | $36,823 | $14,755–$55,191 | 23 |
| Tonsillectomy | $831 | $540 | $11,384 | $7,370–$25,448 | 33 |
| Total knee replacement | $3,635 | $2,363 | $36,823 | $14,755–$55,191 | 23 |
| Vasectomy | $936 | $608 | $6,796 | $4,275–$11,261 | 11 |
| Joint injection (cortisone shot) | $543 | $353 | $3,395 | $682–$7,246 | 11 |
| Physical therapy session | $172 | $112 | $125 | $40–$377 | 6 |
| Emergency room visit | $955 | $621 | $1,324 | $607–$2,560 | 15 |
| Urgent care / office visit (new patient) | $441 | $287 | — | — | 0 |
SOURCE: Legacy Good Samaritan Medical Center standard-charges file dated 2026-04-01 · retrieved 2026-08-15 · 930386793_legacy-good-samaritan-medical-center_stand · CMS v3.0.0