Colorado / Intermountain Health Good Samaritan Hospital
CMS certification 060116 · Lafayette, CO
Intermountain Health Good Samaritan Hospital: charges and Medicare payments
Intermountain Health Good Samaritan Hospital reported 391 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 6.26 times what it was paid — mid-range in Colorado, number 21 of 37 hospitals with at least 100 stays (state median 6.33×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 119 stays at an average charge of $85,437, 5% below the national average. It also billed 789 outpatient services, charging 11.37 times what Medicare paid.
- 1Medicare inpatient stays 391
- 2Charge ÷ paid, inpatient 6.26×
- 3Rank in CO (highest ratio = 1) 21 of 37
- 4CMS price-transparency actions 0
Inpatient stays
For the 17 DRGs that can be compared with the national average, Intermountain Health Good Samaritan Hospital charged more than the national average in 15 (88%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 119 | $85,437 | -5% | $15,079 |
| 291 Heart Failure and Shock with MCC | 32 | $62,008 | +10% | $9,477 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $91,882 | +30% | $12,263 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $50,510 | +3% | $8,491 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $75,648 | +3% | $12,683 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $70,402 | +18% | $10,335 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $119,131 | +18% | $16,288 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $74,357 | +33% | $9,004 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $75,415 | +49% | $8,330 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $233,857 | +2% | $37,860 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $129,317 | +13% | $21,557 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 12 | $169,388 | -27% | $32,221 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $71,446 | +10% | $10,215 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $56,585 | +10% | $9,040 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $62,325 | +8% | $9,741 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $53,288 | +10% | $7,460 |
| 552 Medical Back Problems without MCC | 11 | $49,137 | +1% | $7,348 |
Outpatient services
Against the Colorado average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Intermountain Health Good Samaritan Hospital charged $85,437 on average, 24% less than the Colorado average of $113,091, and was paid $15,079 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), Intermountain Health Good Samaritan Hospital charged $62,008 on average, 13% less than the Colorado average of $71,240, and was paid $9,477 against a state average of $11,134. For Respiratory Infections and Inflammations with MCC (DRG 177), Intermountain Health Good Samaritan Hospital charged $91,882 on average, 6% more than the Colorado average of $86,428, and was paid $12,263 against a state average of $13,957. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Intermountain Health Good Samaritan Hospital charged $50,510 on average, 22% less than the Colorado average of $64,370, and was paid $8,491 against a state average of $9,284. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $34,003 was 0% below the state average of $34,074. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $25,282 was 71% above the state average of $14,762. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $76,075 was 15% below the state average of $89,547. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,453 was 10% below the state average of $13,898.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.