Blood draw (venipuncture) at Intermountain Health Good Samaritan Medical Center. CPT 36415.
What Intermountain Health Good Samaritan Medical Center publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
$88.50list price
$5.57–$79.38range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allegiance | Cigna Sclhs Employees | $22.12 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $22.12 |
| Cigna | Cigna Co Public Option | $22.52 |
| Cigna | Cigna Connect Exchange | $22.52 |
| Cigna | Cigna Surefit | $22.52 |
| Aetna | Aetna Colorado Preferred | $32.92 |
| BCBS/Anthem | BCBS Co Federal | $35.21 |
| BCBS/Anthem | BCBS Co HMO | $35.21 |
| BCBS/Anthem | BCBS Co PPO | $35.21 |
| Aetna | Aetna HMO/EPO | $35.31 |
| Aetna | Aetna Indemnity | $35.31 |
| Aetna | Aetna Other | $35.31 |
| Aetna | Aetna POS/Qpos | $35.31 |
| Aetna | Aetna PPO | $35.31 |
| Aetna | Aetna Src | $35.31 |
| Choicecare Humana | Choicecare Humana HMO EPO | $37.17 |
| Choicecare Humana | Choicecare Humana PPO | $37.17 |
| United Healthcare | Selectcolorado | $38.50 |
| Cigna | Cigna HMO | $50.67 |
| Cigna | Cigna Indemnity | $50.67 |
| Cigna | Cigna Local Plus | $50.67 |
| Cigna | Cigna Other | $50.67 |
| Cigna | Cigna POS/Qpos | $50.67 |
| Cigna | Cigna PPO | $50.67 |
| Cigna | Eighth Dist Elect Ben Pln | $50.67 |
| Cigna | Health-Partners | $50.67 |
| Geha | Geha | $51.33 |
| Geha | Geha Mcr Supplemental | $51.33 |
| United Healthcare | All Savers Alternative Funding | $51.33 |
| United Healthcare | Golden Rule Ins | $51.33 |
Inpatient
—cash price (self-pay)
$88.50list price
$26.11–$88.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser Perm HMO | Kp Select HMO | $26.11 |
| Kaiser Perm HMO | Kaiser HMO Exchange Plan | $37.29 |
| Kaiser Perm HMO | Kaiser Out Of State | $37.29 |
| Kaiser Perm HMO | Kaiser Permanente HMO | $37.29 |
| Kaiser Self Funded | Kaiser Self Funded | $37.29 |
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $38.42 |
| Private Hlthcare Sys | Phcs Other | $66.38 |
| Private Hlthcare Sys | Phcs PPO | $66.38 |
| BCBS/Anthem | BCBS Co Indemnity | $74.50 |
| Multiplan Inc | Multiplan Inc Other | $75.22 |
| Multiplan Inc | Multiplan Inc PPO | $75.22 |
| Aetna | Aetna Nap | $79.38 |
| Cigna | Cigna HMO | $88.50 |
| Cigna | Cigna Indemnity | $88.50 |
| Cigna | Cigna Local Plus | $88.50 |
| Cigna | Cigna Other | $88.50 |
| Cigna | Cigna POS/Qpos | $88.50 |
| Cigna | Cigna PPO | $88.50 |
| Cigna | Eighth Dist Elect Ben Pln | $88.50 |
| Cigna | Health-Partners | $88.50 |
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All common services at Intermountain Health Good Samaritan Medical Center