CMS Price Transparency Data

Care planning with family

Facility: Good Samaritan Medical Center LLC

Billing Code: 90887 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$104
modeled fair price · typically $54–$231
modeled estimate · not a bill or quote
Fair price $104 Hospital's list price $172

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $75 - $100 —
Blue Cross Blue Shieldmajor $68 - $345 —
Aetnamajor $64 - $154 —
Cignamajor $43 - $172 —
Humanamajor $72 —
Kaiser Permanentemajor $32 - $72 —
GEHA $68 - $100 —
+ 3 smaller / regional plans $43 - $129
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 200 Exempla Cir, Lafayette, CO 80026
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals