CMS Price Transparency Data

Breast lump removal

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 19120
  • Insurance Median: $298
  • Cash Discount Price: $2,526
  • vs. Medicare Baseline: 0.07x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at Saint Alphonsus Regional Medical Center is $298. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,526. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 0.07x the Medicare baseline. Located in 1055 North Curtis Road, Boise, ID.
Cash / Self-Pay
$2,526

Average discount available for prompt cash payment at this facility.

Insurance Median
$298

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4,000.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4,000.24 (100%)
Cash / Self-Pay: $2,526 (63%)
Insurance Median: $298 (7%)
Cash: $2,526 (63% of Medicare)
Ins. Median: $298 (7% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $108 - $1,909 3%
Aetna $139 - $4,268 3%
Albany County Correctional Facility $139 - $298 3%
Ambetter / Centene $139 - $298 3%
Amish Mennonite $139 - $298 3%
Ascension St. Vincent Public Safety Medical $139 - $298 3%
Bcccp-Michigan $139 - $298 3%
Bccp $139 - $298 3%
Blue Cross Blue Shield $139 - $4,970 3%
Bmc Healthnet $139 - $298 3%
Breast Grant-Connecticut $139 - $298 3%
Broward County Dept Of Health $139 - $298 3%
California Health And Wellness $139 - $298 3%
Can Community Health Inc $139 - $298 3%
Cardinal Innovations Lme $139 - $298 3%
Care Connections Of Northern Iowa $139 - $298 3%
Care Oregon Ohp $139 - $298 3%
Cencal Health Plan $139 - $298 3%
Cenpatico $139 - $298 3%
Centurion Of Idaho $139 - $1,335 3%
Chhuny $139 - $298 3%
Childrens Comm Health Plan $139 - $298 3%
Childrens Medical Services Title 19 $139 - $298 3%
Cigna $139 - $18,400 3%
City Of Philadelphia $139 - $298 3%
Cmh Allegan County $139 - $298 3%
Cmh Ausable Valley $139 - $298 3%
Cmh Barry County $139 - $298 3%
Cmh Bay-Arenac County $139 - $298 3%
Cmh Berrien County $139 - $298 3%
Cmh Cass County $139 - $298 3%
Cmh Central Mi County $139 - $298 3%
Cmh Clinton-Eaton-Ingham County $139 - $298 3%
Cmh Detroit Wayne Integrated Health Network $139 - $298 3%
Cmh Genesee County $139 - $298 3%
Cmh Ionia County $139 - $298 3%
Cmh Jackson County/Lifeways $139 - $298 3%
Cmh Kalamazoo $139 - $298 3%
Cmh Kent County $139 - $298 3%
Cmh Lenawee County $139 - $298 3%
Cmh Livingston County $139 - $298 3%
Cmh Macomb $139 - $298 3%
Cmh Misc $139 - $298 3%
Cmh Monroe County $139 - $298 3%
Cmh Montcalm County $139 - $298 3%
Cmh Muskegon County $139 - $298 3%
Cmh Newaygo County $139 - $298 3%
Cmh North Country $139 - $298 3%
Cmh Northern Lakes County $139 - $298 3%
Cmh Oakland County $139 - $298 3%
Cmh Ottawa County $139 - $298 3%
Cmh Van Buren County $139 - $298 3%
Cmh Washtenaw County $139 - $298 3%
Cmh Wayne County/Carelink $139 - $298 3%
Cmh Wayne Cty/Com Liv Svcs $139 - $298 3%
Cmh West Mi County $139 - $298 3%
Community Benefit Health $139 - $298 3%
Community Care Behavorial Health $139 - $298 3%
Community Care Partners $139 - $298 3%
Community Health Choice $139 - $298 3%
Connections Csp $139 - $298 3%
County Coroner $139 - $298 3%
County Funding Generic $139 - $298 3%
Covid19 Hrsa Uninsured Testing And Treatment Fund $139 - $298 3%
Dean Wi Badgercare $139 - $298 3%
Delaware County Department Of Health $139 - $298 3%
Delaware First Health $139 - $298 3%
Delta Dental Nj $139 - $298 3%
Dph Tb Program $139 - $298 3%
Dscc $139 - $298 3%
Eastpointe Lme $139 - $298 3%
Family Health Network $139 - $298 3%
Freedom First Healthcare $139 - $298 3%
Fresno County Ccs $139 - $298 3%
Ghc Scw Wi Badgercare $139 - $298 3%
Harbor Health $139 - $298 3%
Health Safety Net $139 - $298 3%
Healthy Blue Ne $139 - $298 3%
Hennepin Health $139 - $298 3%
Humana $139 - $4,451 3%
Id County Ada $139 - $1,335 3%
Id County Canyon $139 - $1,335 3%
Id County Cat Fund $139 - $1,335 3%
Id County Other $139 - $298 3%
Id County Payette $139 - $1,335 3%
Idaho Dept Health And Wellfare $139 - $1,335 3%
Idaho Womens Health Check $139 - $298 3%
Indiana Breast Cervical Cancer $139 - $298 3%
Inland Empire Health Plan $139 - $298 3%
Intercommunity Health Ohp $139 - $298 3%
Iowa Total Care $139 - $298 3%
Jai Medical System $139 - $298 3%
Kern Family Health Plan $139 - $298 3%
Keystone First $139 - $298 3%
Keystone First Chip $139 - $298 3%
La Care Health Plan $139 - $298 3%
Lakeland Care Inc $139 - $298 3%
Managed Health Services - Indiana $139 - $298 3%
Maryland Breast & Cervical Program $139 - $298 3%
Maryland Healthy Smiles - Scion Dental $139 - $298 3%
Maryland Physicians Care $139 - $298 3%
Massachusetts Behavioral Health Partnership $139 - $298 3%
Mdwise $139 - $298 3%
Medi-Cal $139 - $298 3%
Medi-Cal Healthnet $139 - $298 3%
Medstar Dc Healthy Family $139 - $298 3%
Medstar Md Health Choice $139 - $298 3%
Mo Home State Health Plan $139 - $298 3%
Molina Centennial Care $139 - $298 3%
Nascentia Health Options $139 - $298 3%
Nebraska Total Care $139 - $298 3%
New York Cancer Services Program $139 - $298 3%
Nextlevel Health $139 - $298 3%
Pace Of Southwest Michigan $139 - $383 3%
Paramount Advantage $139 - $298 3%
Parkland Community Health Plan $139 - $298 3%
Partners Behavioral Lme $139 - $298 3%
Peach State Healthplan $139 - $298 3%
Philadelphia County Funding $139 - $298 3%
Presbyterian Centennial Care $139 - $298 3%
Prestige Health Choice $139 - $298 3%
Priority Partners $139 - $298 3%
Robert F Sing Program $139 - $298 3%
Rx 340B Pass Along $139 - $298 3%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $139 - $298 3%
Rx Medi-Cal $139 - $298 3%
Rx Meridian Rx $139 - $298 3%
Ryan White Florida Mssrp $139 - $298 3%
Sandhills Center Lme $139 - $298 3%
Screening For Life $139 - $298 3%
St Joseph County Hlth Dpt $139 - $298 3%
Stephenson Cty Health $139 - $298 3%
Sunshine State Health Plan $139 - $298 3%
Superior Health $139 - $298 3%
Tenncare $139 - $298 3%
Texas Children'S Health Plan $139 - $298 3%
Trillium Community Ohp $139 - $1,909 3%
Tufts Health Public Plans $139 - $298 3%
UnitedHealthcare $139 - $4,451 3%
Vaya Health Lme $139 - $298 3%
Washtenaw Health Plan $139 - $298 3%
Wellsense Health Plan $139 - $298 3%
Wi Womens Wellness $139 - $298 3%
Oregon Screenwise $164 - $205 4%
Align Senior Care $181 - $383 5%
Ally Align Care Adv $181 - $383 5%
American Health Plan $181 - $383 5%
Aurora Special Needs $181 - $383 5%
Blue Care Network Advantage $181 - $383 5%
Blue Shield - De (Highmark) Medciare Advantage $181 - $383 5%
Care Dimensions $181 - $383 5%
Care Improvement Plus $181 - $383 5%
Care Resources Pace $181 - $383 5%
Careplus Health Plans $181 - $383 5%
Cca - Zing Health $181 - $383 5%
Cca Senior Care Options $181 - $383 5%
Central Valley Medical Services Corp Pace $181 - $383 5%
Champion Health Plan Mcr Advantage $181 - $383 5%
Clear Spring Health $181 - $383 5%
Clover Health $181 - $383 5%
Commonwealth Care Alliance $181 - $383 5%
Community Pace At Home $181 - $383 5%
Eddy Senior Care-Pace $181 - $383 5%
Eddy Seniorcare Pace $181 - $383 5%
Elementcare $181 - $383 5%
Evercare $181 - $383 5%
Everence $181 - $383 5%
Gateway Health Plan $181 - $383 5%
Genesys Pace Of Genesee County $181 - $383 5%
Georgia Health Advantage $181 - $383 5%
Gold Advantage $181 - $383 5%
Gpa Croell Redi Mix $181 - $383 5%
Health America Advantra $181 - $383 5%
Highmark Health Options Dual Plan $181 - $383 5%
Hope Select Pace $181 - $383 5%
Horizon Nj Total Care $181 - $383 5%
Hudson Headwaters Pace $181 - $383 5%
Huron Valley Pace $181 - $383 5%
Innovative Integrated Health Community Plans $181 - $383 5%
Iowa Health Advantage $181 - $383 5%
Johns Hopkins Advantage Md $181 - $383 5%
Lasso Healthcare Msa $181 - $383 5%
Life St Marys Pace $181 - $383 5%
Lifecircles Pace $181 - $383 5%
Longevity Health Plan $181 - $383 5%
Longevity Ipa Of Michigan Llc Health Plan Isnp $181 - $383 5%
Martins Point Generations Advantage $181 - $383 5%
Mass General Brigham Mcr Adv $181 - $383 5%
Medicare (plans) $181 - $4,355 5%
Medipak Advantage $181 - $383 5%
Mercy Life $181 - $383 5%
Mercyone Cedar Valley $181 - $383 5%
Meridian Complete $181 - $383 5%
Michigan Complete Health $181 - $383 5%
Nascentia Health Plus $181 - $383 5%
New Centry Health Careplus $181 - $383 5%
Osu Prime Care Advantage $181 - $383 5%
Pace Cny $181 - $383 5%
Pace Iowa Immanuel Pathways $181 - $383 5%
Pace Southeast $181 - $383 5%
Pace-Trinity Health $181 - $383 5%
Peak Pace Solutions $181 - $383 5%
Perennial Advantage $181 - $383 5%
Preferred Care Partners $181 - $383 5%
Presbyterian Senior Plan $181 - $383 5%
Provider Partners Health Plan Of Illinois $181 - $383 5%
Provider Partners Health Plan Of Indiana $181 - $383 5%
Pruitthealth Premier $181 - $383 5%
Reliance Community Care Partners Care Resources Pace $181 - $383 5%
Rx Allwin $181 - $383 5%
Rx Grane Grnmedd $181 - $383 5%
Rx Retiree Rx Care $181 - $383 5%
Scan Health Plan Mcr Ipa Meritage Oon $181 - $383 5%
Secure Horizons Ma Pffs $181 - $383 5%
Serenity Pace $181 - $383 5%
Siouxland Pace $181 - $383 5%
Solis Health Plans $181 - $383 5%
Sunnyview-Pace Finance Dept $181 - $383 5%
Texan Plus $181 - $383 5%
The Health Plan $181 - $383 5%
Thome Pace $181 - $383 5%
Todays Options $181 - $383 5%
Tribute Health Plans $181 - $383 5%
Um Health Advantage $181 - $383 5%
Union Health Service $181 - $383 5%
Welbe Health $181 - $383 5%
Wellmed $181 - $383 5%
Veterans Administration $184 - $391 5%
Champva $186 - $345 5%
Tricare $186 - $345 5%
Triwest Health Alliance $186 - $345 5%
Us Family Health Plan $186 - $345 5%
Veterans Eval Services $186 - $345 5%
American Health Advantage Of Idaho $188 - $4,309 5%
Andrie Inc $264 - $644 7%
East Greenbush Central School District $264 - $644 7%
Genex Wc $264 - $644 7%
Healthsmart Workers Comp $264 - $644 7%
Jag Source $264 - $644 7%
New York State Insurance Fund $264 - $644 7%
Njm Insurance Group $264 - $644 7%
Rx Heatlhcomp $264 - $644 7%
Rx Restat $264 - $644 7%
Rx Saif Opdp Wc $264 - $644 7%
Rx Worker'S Comp $264 - $644 7%
Wc Accident Fund $264 - $644 7%
Wc Ace $264 - $644 7%
Wc Acs Federal Employees $264 - $644 7%
Wc Acuity $264 - $644 7%
Wc Advantage $264 - $644 7%
Wc Aegis $264 - $644 7%
Wc Aig $264 - $644 7%
Wc Aims $264 - $644 7%
Wc Alaska National Ins $264 - $644 7%
Wc Align Network $264 - $644 7%
Wc Allied $264 - $644 7%
Wc Am Trust N America $264 - $644 7%
Wc American Claims Mgmt $264 - $644 7%
Wc Amerisure $264 - $644 7%
Wc Amtrust $264 - $644 7%
Wc Asu Risk Mgt $264 - $644 7%
Wc Benetech $264 - $644 7%
Wc Berkley Admin $264 - $644 7%
Wc Broadspire $264 - $644 7%
Wc Broward County $264 - $644 7%
Wc Bunch & Associates $264 - $644 7%
Wc California State Comp Ins $264 - $644 7%
Wc California State Ins Fund $264 - $644 7%
Wc Capitol Area Health Consortium $264 - $644 7%
Wc Ccmsi $264 - $644 7%
Wc Chartis $264 - $644 7%
Wc Chubb $264 - $644 7%
Wc Cirma $264 - $644 7%
Wc City Of Albany $264 - $644 7%
Wc City Of Sioux City $264 - $644 7%
Wc Claims Mgmt Inc $264 - $644 7%
Wc Cna $264 - $644 7%
Wc Comp One Admin C/O Manageability $264 - $644 7%
Wc Compone Admin $264 - $644 7%
Wc Corvel $264 - $644 7%
Wc Ct Healthcare Trust $264 - $644 7%
Wc Donegal Insurance Group $264 - $644 7%
Wc Emc Insurance Company $264 - $644 7%
Wc Employee Mutual $264 - $644 7%
Wc Enablecomp $264 - $644 7%
Wc Encore Health Network $264 - $644 7%
Wc Erie $264 - $644 7%
Wc Esis $264 - $644 7%
Wc Evolutions $264 - $644 7%
Wc Fcci $264 - $644 7%
Wc Fed Ex $264 - $644 7%
Wc Federal Black Lung $264 - $644 7%
Wc Federated $264 - $644 7%
Wc Finley Occupational Health $264 - $644 7%
Wc First Agency/Occunet $264 - $644 7%
Wc Ford Motor $264 - $644 7%
Wc Fresno Unified Emp $264 - $644 7%
Wc Gallagher Bassett $264 - $644 7%
Wc General Motors $264 - $644 7%
Wc Generic $264 - $644 7%
Wc Genex Care For Ohio $264 - $644 7%
Wc Great West Casualty $264 - $644 7%
Wc Guarantee Insurance $264 - $644 7%
Wc Guard Insurance Company $264 - $644 7%
Wc Hab $264 - $644 7%
Wc Hartford $264 - $644 7%
Wc Hastings $264 - $644 7%
Wc Health Management $264 - $644 7%
Wc Heritage Summit $264 - $644 7%
Wc Hireright $264 - $644 7%
Wc Horizon $264 - $644 7%
Wc Icw Group $264 - $644 7%
Wc Idaho State Ins Fund $264 - $644 7%
Wc Intercare Insurance $264 - $644 7%
Wc Intermountain $264 - $644 7%
Wc Johns Eastern $264 - $644 7%
Wc Kemberton $264 - $644 7%
Wc Key Ins & Benefit Solutions $264 - $644 7%
Wc Liberty Mutual $264 - $644 7%
Wc Mac Risk Management $264 - $644 7%
Wc Massachusetts $264 - $644 7%
Wc Mdia $264 - $644 7%
Wc Meadowbrook Claim $264 - $644 7%
Wc Medical Administrators $264 - $644 7%
Wc Meijers $264 - $644 7%
Wc Memic $264 - $644 7%
Wc Mercy Workcare $264 - $644 7%
Wc Michigan $264 - $644 7%
Wc Michigan Millers Mutual $264 - $644 7%
Wc Mitchell Frankenmuth $264 - $644 7%
Wc Mra $264 - $644 7%
Wc Nationwide $264 - $644 7%
Wc Nca Comp $264 - $644 7%
Wc New York $264 - $644 7%
Wc New York Special Funds $264 - $644 7%
Wc North American Rishces $264 - $644 7%
Wc Northeast Health $264 - $644 7%
Wc Notre Dame $264 - $644 7%
Wc Novanet $264 - $644 7%
Wc O'Hara Corp $264 - $644 7%
Wc Occ Health Allen $264 - $644 7%
Wc Ohio Bureau $264 - $644 7%
Wc One Call Medical $264 - $644 7%
Wc Paradigm $264 - $644 7%
Wc Peerless $264 - $644 7%
Wc Pma $264 - $644 7%
Wc Praxis Health Network $264 - $644 7%
Wc Price Chopper $264 - $644 7%
Wc Procura Management $264 - $644 7%
Wc Qualcare $264 - $644 7%
Wc Quiktrip $264 - $644 7%
Wc Reny Company $264 - $644 7%
Wc Rev Claims $264 - $644 7%
Wc Risico $264 - $644 7%
Wc Rural Mutual $264 - $644 7%
Wc Saif Oregon $264 - $644 7%
Wc Secura $264 - $644 7%
Wc Sedgwick $264 - $644 7%
Wc Sentry $264 - $644 7%
Wc Sheakley Unicomp $264 - $644 7%
Wc Smile Lodge $264 - $644 7%
Wc Society $264 - $644 7%
Wc Srs $264 - $644 7%
Wc Taconic (Mro) $264 - $644 7%
Wc Taconic Farms $264 - $644 7%
Wc Travelers $264 - $644 7%
Wc Triad Group $264 - $644 7%
Wc Tristar $264 - $644 7%
Wc Troy Ny $264 - $644 7%
Wc Tyson $264 - $644 7%
Wc Unified Health Services $264 - $644 7%
Wc United Heartland $264 - $644 7%
Wc Us Dept Of Labor $264 - $644 7%
Wc Velocity $264 - $644 7%
Wc Walmart $264 - $644 7%
Wc West Bend $264 - $644 7%
Wc West Bend Mutual/Argent $264 - $644 7%
Wc Winnebago Industries $264 - $644 7%
Wc Yankee Trails $264 - $644 7%
Wc York Risk $264 - $644 7%
Wc Zenith $264 - $644 7%
Wc Zurich $264 - $644 7%
Allied Benefit Systems $306 - $4,086 8%
Asr Health Benefits $306 - $4,086 8%
Boon Chapman $306 - $4,086 8%
Christian Brother Services $306 - $4,086 8%
Geha $306 - $4,086 8%
Healthscope $306 - $698 8%
Luminare Health (Detroit) $306 - $4,086 8%
Meritain $306 - $4,086 8%
Rural Carrier Health Benefit Plan $306 - $4,086 8%
Webtpa $332 - $11,161 8%
Providence $341 - $18,400 9%
Pacificsource Health Plans $342 - $6,764 9%
Asuris Northwest Health $344 - $3,225 9%
Blue Shield - Id (Regence) $344 - $3,632 9%
Healthcare Management Admin $344 - $3,225 9%
Healthnet $351 - $4,006 9%
Molina Marketplace $360 - $9,978 9%
Health Plans Inc $369 - $689 9%
Ms Administrative Services $369 - $689 9%
Moda Health $393 - $8,211 10%
Mountain Health Co-Op $393 - $2,671 10%
Selecthealth $393 - $4,006 10%
Bcn Domestic $412 - $4,970 10%
Blue Benefit Administrators Of Massachusetts $412 - $4,970 10%
Blue Care Network $412 - $4,970 10%
Blue Distinction Transplant $412 - $4,970 10%
Blue Shield - Ca $412 - $4,970 10%
Blue Shield - Ny Highmark Northeastern $412 - $4,970 10%
Blue Shield - Ny Highmark Western $412 - $4,970 10%
Blue Shield - Pa (Highmark) $412 - $4,970 10%
Blue Shield - Wa (Regence) $412 - $4,970 10%
Health Choices $412 - $4,970 10%
Kaiser Domestic $412 - $4,970 10%
Pre-Employment $412 - $4,970 10%
Wc Domestic $412 - $4,970 10%
First Choice Health $443 - $3,783 11%
Allegiance $485 - $3,294 12%
Allied National Global Care $547 - $4,006 14%
Asrm - Reliance Standard Life Insurance $547 - $4,006 14%
Christian Care Ministry $547 - $4,006 14%
Dean Health $547 - $4,006 14%
Fallon Health $547 - $4,006 14%
Family Life Insurance Company $547 - $4,006 14%
Ghc Scw $547 - $4,006 14%
International Benefit Administrators $547 - $4,006 14%
Lifetime Benefit Solutions $547 - $4,006 14%
Manhattan Life $547 - $4,006 14%
Medi Share $547 - $4,006 14%
Multiplan $547 - $983 14%
Pai $547 - $4,006 14%
Pan-American Life $547 - $4,006 14%
Paramount Hmo $547 - $4,006 14%
Phcs $547 - $4,006 14%
Trinity Health Share $547 - $4,006 14%
St Lukes Health Plan $744 - $2,817 19%
Ada County Jail Inmate Ins $1,335 33%
Columbia Health Network $3,249 81%
Employee Benefit Management $3,783 95%
First Health $4,006 100%
Ameriben $4,086 102%
Healthez $4,086 102%
Priority Health $18,400 460%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1055 North Curtis Road, Boise, ID 83706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals