86 procedures with published pricing. Cash pay ranges from $12 to $25,719.
Good Samaritan Hospital in Indianapolis publishes cash-pay pricing for 86 procedures, as required by federal law under 45 CFR Part 180. The median cash price across all published procedures is $346, with individual procedure prices ranging from $12 to $25,719 as of 2026-04-18. Source: Good Samaritan Hospital Machine-Readable File. ProcedureRadar.
By Kevin Monangai, Founder, ProcedureRadar.
Hospital profile pages are what we wish existed when our own family was trying to figure out a bill. Each one shows every procedure that hospital publishes, pulled straight from its own federally mandated transparency file, one of roughly 3,500 we track and refresh monthly. We link back to the raw file every time, so you can verify the prices yourself. No middleman, no spin.
Good Samaritan Hospital's cash pay prices range from $12 (Urinalysis) to $25,719 (ACL Reconstruction).
| Category | Range | |||
|---|---|---|---|---|
| Urinalysis | lab | $12 | $12 to $12 | Low |
| ERCP (Gallstone Removal) | other | $12 | $12 to $12 | Low |
| Blood Draw (Venipuncture) | lab | $23 | $23 to $24 | Low |
| Circumcision | surgery | $28 | $28 to $29 | Low |
| Lumpectomy (Breast) | surgery | $31 | $31 to $31 | Low |
| Liver Function Panel | lab | $32 | $32 to $33 | Low |
| Cystoscopy | diagnostic | $38 | $38 to $39 | Low |
| Blood Test | lab | $44 | $44 to $45 | Low |
| Thyroid Test (TSH) | lab | $44 | $44 to $45 | Low |
| Vitamin D Test | lab | $44 | $44 to $45 | Low |
| Cholesterol Management | cardiac | $56 | $56 to $57 | Low |
| Flu Vaccination | preventive | $72 | $72 to $74 | Low |
| Paracentesis | diagnostic | $85 | $85 to $86 | Low |
| Cardiac Catheterization | cardiac | $90 | $90 to $92 | Low |
| Pap Smear | preventive | $117 | $117 to $120 | Low |
| Stress Test | cardiac | $139 | $139 to $142 | Low |
| Emergency Room Visit | emergency | $155 | $155 to $159 | Low |
| CT Head | imaging | $156 | $156 to $159 | Low |
| Hemoglobin A1C | lab | $160 | $160 to $163 | Low |
| Chest X-Ray | imaging | $182 | $182 to $186 | Low |
| Total Hip Replacement | surgery | $188 | $188 to $192 | Low |
| IV Hydration | therapy | $190 | $190 to $193 | Low |
| Septoplasty | surgery | $194 | $194 to $198 | Low |
| Hysterectomy (Laparoscopic) | surgery | $208 | $208 to $212 | Low |
| Ankle X-Ray | imaging | $218 | $218 to $223 | Low |
| Foot X-Ray | imaging | $218 | $218 to $223 | Low |
| X-Ray of the Knee | imaging | $218 | $218 to $223 | Low |
| CT Spine | imaging | $244 | $244 to $249 | Low |
| Annual Wellness Visit (Established) | preventive | $253 | $253 to $258 | Low |
| Annual Wellness Visit (New) | preventive | $253 | $253 to $258 | Low |
| Hypertension Management | cardiac | $253 | $253 to $258 | Low |
| Therapeutic Injection | preventive | $253 | $253 to $258 | Low |
| Urgent Care Visit | other | $253 | $253 to $258 | Low |
| Hand/Wrist X-Ray | imaging | $255 | $255 to $260 | Low |
| Echocardiogram | imaging | $283 | $283 to $289 | Low |
| Pathology (Surgical Specimen) | lab | $294 | $294 to $300 | Low |
| CT Chest | imaging | $302 | $302 to $308 | Low |
| Central Line Insertion | other | $304 | $304 to $310 | Low |
| Asthma Management | other | $313 | $313 to $319 | Low |
| Diabetes Management | other | $316 | $316 to $322 | Low |
| Bone Density Scan | imaging | $328 | $328 to $334 | Low |
| Hip/Pelvis X-Ray | imaging | $328 | $328 to $334 | Low |
| Lumbar Spine X-Ray | imaging | $328 | $328 to $334 | Low |
| Shoulder X-Ray | imaging | $364 | $364 to $372 | Low |
| Skin Lesion Destruction | other | $367 | $367 to $374 | Low |
| CT Abdomen and Pelvis | imaging | $369 | $369 to $377 | Low |
| COPD Management | other | $379 | $379 to $387 | Low |
| IV Drug Infusion | therapy | $442 | $442 to $451 | Low |
| MRI of the Knee | imaging | $457 | $457 to $466 | Low |
| Wound Debridement | surgery | $504 | $504 to $514 | Low |
| Complete Blood Count (CBC) | lab | $517 | $517 to $527 | Low |
| Mental Health Evaluation | therapy | $569 | $569 to $580 | Low |
| Angioplasty with Stent (PCI) | other | $589 | $589 to $602 | Low |
| Occupational Therapy | therapy | $625 | $625 to $638 | Low |
| Abdominal Ultrasound | imaging | $655 | $655 to $669 | Low |
| MRI of the Abdomen | imaging | $718 | $718 to $733 | Low |
| Pelvic Ultrasound | imaging | $765 | $765 to $780 | Low |
| Lumbar Puncture (Spinal Tap) | other | $857 | $857 to $875 | Low |
| Laryngoscopy | other | $908 | $908 to $927 | Low |
| Mammogram | preventive | $947 | $947 to $966 | Low |
| Obstetric Ultrasound | imaging | $947 | $947 to $966 | Low |
| Sleep Study (Polysomnography) | diagnostic | $950 | $950 to $969 | Low |
| Basic Metabolic Panel (BMP) | lab | $962 | $962 to $982 | Low |
| Carpal Tunnel Release | surgery | $1,038 | $1,038 to $1,059 | Low |
| MRI of the Brain | imaging | $1,061 | $1,061 to $1,082 | Low |
| Dialysis | other | $1,063 | $1,063 to $1,085 | Low |
| MRI Spine | imaging | $1,077 | $1,077 to $1,099 | Low |
| EKG (Electrocardiogram) | cardiac | $1,091 | $1,091 to $1,114 | Low |
| Chemotherapy Administration | other | $1,137 | $1,137 to $1,161 | Low |
| Prostate Cancer Screening | other | $1,346 | $1,346 to $1,373 | Low |
| Spinal Fusion | surgery | $1,364 | $1,364 to $1,392 | Low |
| Radiation Therapy | other | $1,429 | $1,429 to $1,458 | Low |
| Physical Therapy | therapy | $1,465 | $1,465 to $1,495 | Low |
| MRI of the Shoulder | imaging | $1,664 | $1,664 to $1,698 | Low |
| Carotid Ultrasound | imaging | $1,675 | $1,675 to $1,709 | Low |
| Abscess Drainage (I&D) | emergency | $1,798 | $1,798 to $1,834 | Low |
| CABG (Heart Bypass Surgery) | other | $1,864 | $1,864 to $1,902 | Low |
| Gallbladder Removal (Laparoscopic) | surgery | $2,082 | $2,082 to $2,124 | Low |
| PET Scan | imaging | $2,153 | $2,153 to $2,197 | Low |
| C-Section (Cesarean Delivery) | obstetric | $2,176 | $2,176 to $2,221 | Low |
| Breast Biopsy | other | $2,243 | $2,243 to $2,289 | Low |
| IUD Insertion | other | $3,075 | $3,075 to $3,138 | Low |
| Hysteroscopy | other | $3,181 | $3,181 to $3,246 | Low |
| Kidney Stone Removal | other | $3,378 | $3,378 to $3,447 | Low |
| Thoracentesis | other | $3,754 | $3,754 to $3,830 | Low |
| ACL Reconstruction | surgery | $25,719 | $25,719 to $26,244 | Low |
This hospital's pricing is published per federal mandate.
Disclosure required by 45 CFR Part 180.
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