Intermountain Health Good Samaritan Hospital is a nonprofit short-term acute care hospital in Lafayette, Colorado. Its CMS Certification Number (CCN) is 060116 and its NPI is 1407845035.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Lafayette, CO
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Colorado hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $302$268–$325 · 3 rates | 88th percentile · state median $241, mean $259 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $593$509–$627 · 9 rates | 80th percentile · state median $436, mean $473 |
| MRI, brain, with and without contrast | 70553 | $662$567–$699 · 9 rates | 43rd percentile · state median $725, mean $683 |
| Colonoscopy, diagnostic | 45378 | $537$305–$694 · 9 rates | 68th percentile · state median $501, mean $522 |
See UnitedHealthcare rates for every billing code at Intermountain Health Good Samaritan Hospital
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
4 out of 5 stars
0 better7 no different0 worsethan national
1 better5 no different0 worsethan national
0 better6 no different0 worsethan national
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Quick answers about Intermountain Health Good Samaritan Hospital.
Intermountain Health Good Samaritan Hospital's CMS Certification Number (CCN) is 060116. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Intermountain Health Good Samaritan Hospital bills under National Provider Identifier (NPI) 1407845035.
Intermountain Health Good Samaritan Hospital bills insurers under tax ID (EIN) 43-1982139, held by GOOD SAMARITAN MEDICAL CENTER, LLC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Intermountain Health Good Samaritan Hospital is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is Good Samaritan Medical Center, LLC.
Intermountain Health Good Samaritan Hospital is at 200 Exempla Cir, Lafayette, CO 80026.
Intermountain Health Good Samaritan Hospital has a CMS overall star rating of 4 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. Intermountain Health Good Samaritan Hospital reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.