CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Good Samaritan Medical Center LLC

Billing Code: 90700 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$38
modeled fair price · typically $26–$60
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
About the fair price
about $2 over the fair price
Fair price $38 This hospital $40 Hospital's list price $266

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

One of the lower prices — 5 of 8 other CO hospitals charge more for the same procedure.

Cheapest $30 Priciest $51

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

A fair price for a DTaP vaccine (diphtheria, tetanus, pertussis) is about $38. Good Samaritan Medical Center LLC charges insurers about $40 — about the fair price. Located in Lafayette, CO.

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 $116 - $154 —
Blue Cross Blue Shieldmajor $97 - $224 —
Aetnamajor $99 - $239 —
Cignamajor $40 - $266 —
Humanamajor $112 —
Kaiser Permanentemajor $49 - $112 —
GEHA $106 - $154 —
+ 3 smaller / regional plans $66 - $200
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

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