CMS Price Transparency Data

X-ray, hand

Facility: Good Samaritan Medical Center LLC

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $203
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.28x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Good Samaritan Medical Center LLC is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.28x the Medicare baseline. Located in 200 Exempla Cir, Lafayette, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Insurance Median: $203 (228%)
Ins. Median: $203 (228% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 228% of the Medicare baseline (a markup of 128%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Kaiser Perm Hmo $86 - $196 97%
Aarp $88 99%
Kaiser Snp $88 99%
Select Health $88 99%
UnitedHealthcare $88 - $271 99%
Aetna $100 - $418 112%
Kaiser Self Funded $107 - $196 120%
Geha $109 - $271 123%
Kaiser Perm Ppo/Pos $109 - $202 123%
Preferred One $109 - $186 123%
Allegiance $117 132%
Cigna $117 - $466 132%
Blue Cross Blue Shield $186 - $393 209%
Humana $196 220%
Denv Hlth Med Plan $230 259%
Cofinity $336 378%
First Health Network $336 378%
Private Hlthcare Sys $350 394%
Multiplan Inc $396 445%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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