Good Samaritan Medical Center, Llc Dba
LAFAYETTE, CO
Addresses
Filing revisions
1 known revision on file.
| Revision date | Payer-specific rates |
|---|---|
| Mar 22, 2026 | Yes |
Example procedure pricing
- Total knee replacement β CPT 27447$13.2k
- MRI brain w/ contrast β CPT 70553$2.3k
- Upper GI endoscopy β CPT 43239$4.2k
- Knee arthroscopy β CPT 29881$7.2k
- Colonoscopy β CPT 45378$4.1k
- Colonoscopy with biopsy β CPT 45380$4.4k
- Cataract surgery β CPT 66984$7.0k
- Appendectomy β CPT 44970$8.7k
- Hip replacement β CPT 27130$12.8k
- Gallbladder removal β CPT 47562$9.8k
- Screening mammogram β CPT 77067$287
- CT scan, abdomen and pelvis β CPT 74177$3.7k
- Coronary stent placement β CPT 92928$23.0k
- Tonsillectomy β CPT 42820$7.0k
- Cardiac catheterization β CPT 93458$13.5k
- MRI, knee β CPT 73721$1.4k
- MRI, lumbar spine β CPT 72148$1.7k
- Chest X-ray β CPT 71046$280
- Emergency dept visit, level 4 β CPT 99284$3.1k
- Hernia repair β CPT 49505$7.4k
- Carpal tunnel release β CPT 64721$5.3k
- Cesarean delivery β CPT 59510$7.2k
- Spinal fusion β CPT 22612$13.1k
- Vaginal delivery β CPT 59400$7.2k
- Pacemaker insertion β CPT 33208$20.5k
- Shoulder arthroscopy with rotator cuff repair β CPT 29827$9.4k
- Gastric bypass surgery β CPT 43644$11.4k
EIN: 431982139
Last updated: Mar 22, 2026
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Hospital ID: fae2f988c3c38b0b004f6c86b987a1aaaa2f2fe4d4c660e2c687fd7b98feb52a