Intermountain Healthcare · Lafayette, CO
36
In-network payers
328
Disclosed rate categories
234
Beds
5
Care quality
Intermountain Health Good Samaritan Hospital is a 234-bed voluntary non-profit - private hospital in Lafayette, CO, affiliated with Intermountain Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 328 disclosed rate categories.
CCN (Medicare provider number)
060116
NPI
1407845035
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
234
Care Quality
5
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.
The 24 services Intermountain Health 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.
Childbirth · Inpatient
MS-DRG 807
$10,146 - $14,731
from 3 insurers · median $11,779
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$17,124 - $18,547
from 3 insurers · median $18,078
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 216
$184,876 - $209,257
from 4 insurers · median $206,597
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 45385
$3,472 - $9,159
from 3 insurers · median $7,060
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$10,146 - $14,731
from 3 insurers · median $11,779
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 45380
$3,472 - $8,381
from 3 insurers · median $6,797
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$7,898 - $12,998
from 3 insurers · median $11,448
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$70,528 - $75,184
from 3 insurers · median $74,175
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 43239
$3,472 - $6,581
from 3 insurers · median $4,667
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$7,319 - $12,373
from 3 insurers · median $11,448
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$8,886 - $14,590
from 3 insurers · median $11,448
16 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$43,639 - $55,906
from 4 insurers · median $51,151
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$35,026 - $44,172
from 4 insurers · median $38,248
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74177
$945
negotiated rate
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$926
negotiated rate
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$3,472 - $8,381
from 3 insurers · median $7,014
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$1,781 - $6,061
from 3 insurers · median $5,100
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$7,617 - $12,373
from 3 insurers · median $11,448
Typical for a hospital with this service line
Gynecology
CPT 58558
$5,741 - $7,020
from 2 insurers · median $6,380
Typical for a hospital with this service line
CT imaging
CPT 71275
$922
negotiated rate
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$7,785 - $12,998
from 3 insurers · median $11,448
Typical for a hospital with this service line
CT imaging
CPT 74176
$908
negotiated rate
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$358
negotiated rate
Common here, based on CMS Medicare volume
Skin and soft tissue
CPT 10005
$2,358 - $6,347
from 3 insurers · median $5,100
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 15 | 504% | 12 | 3 |
| Insurer B* | 24 | 392% | 14 | 6 |
| Insurer C* | 19 | 202% | 1 | 15 |
| Insurer D* | 6 | - | 2 | 1 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 11 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 Intermountain Health Good Samaritan Hospital.
200 Exempla Circle, Lafayette, CO 80026
(303) 689-4000
The nearest hospitals of similar type and size. Their rates are compared with Intermountain Health Good Samaritan Hospital for the same insurers and services above.
Boulder Community Hospital
▼ Rates typically 12% lower than Intermountain Health Good Samaritan Hospital (21 services)
North Suburban Medical Center
▲ Rates typically 6% higher than Intermountain Health Good Samaritan Hospital (21 services)
Longmont United Hospital
▼ Rates typically 51% lower than Intermountain Health Good Samaritan Hospital (21 services)
St Anthony Hospital
▼ Rates typically 40% lower than Intermountain Health Good Samaritan Hospital (20 services)
Rose Medical Center
▲ Rates typically 6% higher than Intermountain Health Good Samaritan Hospital (21 services)
Porter Adventist Hospital
▼ Rates typically 50% lower than Intermountain Health Good Samaritan Hospital (21 services)
Intermountain Health Saint Joseph Hospital
Intermountain Health Lutheran Hospital
Intermountain Health Platte Valley Hospital
Intermountain Health St. Mary S Regional Hospital
About Intermountain Health Good Samaritan Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Intermountain Health Good Samaritan Hospital range from $945 to $945 across 1 insurers. Aetna's rate is $945. The median at nearby comparable hospitals is $464. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Intermountain Health Good Samaritan Hospital range from $3,472 to $9,159 across 3 insurers. Anthem Blue Cross Blue Shield's rate is $9,159. The median at nearby comparable hospitals is $4,905. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Intermountain Health Good Samaritan Hospital range from $10,146 to $14,731 across 3 insurers. Cigna's rate is $10,146. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Intermountain Health Good Samaritan Hospital range from $358 to $358 across 1 insurers. Aetna's rate is $358. The median at nearby comparable hospitals is $150. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Intermountain Health Good Samaritan Hospital range from $35,026 to $44,172 across 4 insurers. Aetna's rate is $40,444. The median at nearby comparable hospitals is $37,985. What a patient pays depends on their plan's deductible, coinsurance and network status.
Intermountain Health Good Samaritan Hospital has 234 beds. Facility type: Short Term Acute Care Hospital.
Intermountain Health Good Samaritan Hospital is located at 200 Exempla Circle, Lafayette, CO 80026. Its main phone number is (303) 689-4000.
Intermountain Health Good Samaritan Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 060116.
The National Provider Identifier (NPI) on file for Intermountain Health Good Samaritan Hospital is 1407845035.
Intermountain Health Good Samaritan Hospital is affiliated with Intermountain Healthcare.
Intermountain Health Good Samaritan Hospital lists 36 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
328 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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