Physician
Hematology & Oncology
Hematology & Oncology
BOULDER, CO
GOOD SAMARITAN MEDICAL CENTER LLC
intermountainhealthcare.org/locations/intermountain-health-good-samaritan-hospital
Based on specialty. Actual services may vary — contact the provider's office to confirm.
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
J9217 Leuprolide acetate (for depot suspension), 7.5 mg | $3,938 | $170 | $134 | 62 |
96413 Administration of chemotherapy into vein, 1 hour or less | $686 | $136 | $106 | 292 |
38222 Biopsy and aspiration of bone marrow sample for diagnosis | $523 | $180 | $143 | 15 |
J3489 Injection, zoledronic acid, 1 mg | $462 | $9 | $6 | 183 |
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg | $401 | $4 | $3 | 229 |
99204 New patient office or other outpatient visit, 45-59 minutes | $343 | $167 | $119 | 51 |
96417 Administration of additional new drug or substance into vein, 1 hour or less | $334 | $67 | $53 | 79 |
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $304 | $66 | $51 | 187 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $301 | $179 | $142 | 29 |
J9045 Injection, carboplatin, 50 mg | $300 | $2 | $2 | 191 |
J1568 Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | $250 | $42 | $33 | 3,470 |
96360 Infusion into a vein for hydration, 31-60 minutes | $249 | $34 | $26 | 21 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $224 | $128 | $97 | 364 |
99203 New patient office or other outpatient visit, 30-44 minutes | $219 | $113 | $90 | 21 |
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | $205 | $75 | $60 | 157 |
96415 Administration of chemotherapy into vein, each additional hour | $156 | $29 | $23 | 121 |
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | $152 | $30 | $23 | 181 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $148 | $90 | $64 | 510 |
J9271 Injection, pembrolizumab, 1 mg | $146 | $54 | $43 | 11,000 |
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle | $141 | $35 | $26 | 76 |
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj | $136 | $48 | $38 | 8,820 |
J2469 Injection, palonosetron hcl, 25 mcg | $122 | $1 | $1 | 1,070 |
96523 Irrigation of implanted venous access drug delivery device | $111 | $27 | $17 | 24 |
96375 Injection of additional new drug or substance into vein | $105 | $16 | $12 | 278 |
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | $97 | $21 | $16 | 112 |
96372 Injection of drug or substance under skin or into muscle | $93 | $14 | $10 | 78 |
96368 Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion | $91 | $20 | $16 | 35 |
96361 Infusion into a vein for hydration, each additional hour | $73 | $13 | $10 | 29 |
M0010 Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services | $70 | $73 | $73 | 81 |
J1626 Injection, granisetron hydrochloride, 100 mcg | $24 | $0 | $0 | 775 |
J7030 Infusion, normal saline solution , 1000 cc | $19 | $3 | $2 | 31 |
J3490 Unclassified drugs | $9 | $1 | $1 | 42 |
J1200 Injection, diphenhydramine hcl, up to 50 mg | $7 | $1 | $1 | 93 |
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | $6 | $1 | $0 | 10,200 |
J1453 Injection, fosaprepitant, 1 mg | $6 | $0 | $0 | 10,800 |
J1100 Injection, dexamethasone sodium phosphate, 1 mg | $5 | $0 | $0 | 1,801 |
J1756 Injection, iron sucrose, 1 mg | $4 | $0 | $0 | 6,900 |
J9267 Injection, paclitaxel, 1 mg | $1 | $0 | $0 | 4,240 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.