Good Samaritan Medical Center LLC
200 Exempla Cir, Lafayette, CO 80026 · 120 Priced Procedures · 75% Patient Recommendation
Typical commercial prices here are +23% above the fair benchmark (1.23×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.23× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Good Samaritan Medical Center LLC prices routine shoppable procedures at 1.8× Medicare (median 1.00× Fair BaseRate) while upper-quartile commercial rates jump +69% to 1.69× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- 4-Star CMS clinical rating with 75% patient recommendation (74/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (42.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.2× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.69×) jump +69% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 14.8× Medicare (16¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Good Samaritan Medical Center LLC
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $10,318 | 0.8× |
| Total knee replacement CPT Code: 27447 | $10,318 | 0.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $9,715 | 1.6× |
| Cataract surgery with lens implant CPT Code: 66984 | $7,496 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $7,252 | 2.2× |
| Inguinal hernia repair CPT Code: 49505 | $7,252 | unverified |
| Bunion correction surgery CPT Code: 28296 | $6,855 | unverified |
| Breast lump removal CPT Code: 19120 | $6,195 | 1.6× |
| Vaginal delivery (full package) CPT Code: 59400 | $5,838 | 2.2× |
| C-section delivery (full package) CPT Code: 59510 | $5,838 | 2.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $4,533 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $4,533 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $4,533 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $2,605 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,316 | 0.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,022 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $872 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $857 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $560 | 1.6× |
| MRI, knee or other leg joint CPT Code: 73721 | $584 | 1.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $549 | 1.6× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $572 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $512 | 1.7× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $510 | 0.9× |
| Blood transfusion CPT Code: 36430 | — | unverified |
Audit a Bill or Quote at Good Samaritan Medical Center LLC (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $10,430
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (42.1% of gross = $10,430).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Good Samaritan Medical Center LLC's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($24,763) is $11,350 above the denoised Fair BaseRate ($13,413) and 1.9× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (42.1% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Good Samaritan Medical Center LLC. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-08-13·administrative_or_closure
Met Requirements
Recorded - 2024-05-22·administrative_or_closure
Closure Notice
Recorded - 2024-05-02·cap_corrective_action
CAP Request
Recorded - 2024-01-31·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (951 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Good Samaritan Medical Center LLC.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.