Flu vaccine (high dose)
Facility: Saint Alphonsus Regional Medical Center
Billing Code: 90656 (HCPCS)
This hospital's typical commercial price is $19 compared to the $21 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.90× fair market pricing.
One of the lower prices — 5 of 8 other ID hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.
A fair price for a Flu vaccine (high dose) is about $21. Saint Alphonsus Regional Medical Center charges insurers about $19, or about $51 in cash — about the fair price. Located in Boise, ID.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $6 - $102 | — |
| Blue Cross Blue Shieldmajor | $6 - $34 | — |
| Aetnamajor | $7 - $94 | — |
| Cignamajor | $19 - $56 | — |
| Humanamajor | $17 - $102 | — |
| Kaiser Permanentemajor | $20 - $22 | — |
| Ambetter (Centene) | $19 | — |
| Clover Health | $23 | — |
| Dean Health Plan | $17 - $92 | — |
| GEHA | $17 - $94 | — |
| Health Net | $14 - $92 | — |
| HealthPartners | $19 | — |
| Meridian | $19 - $23 | — |
| Moda Health | $6 - $92 | — |
| Molina | $15 - $82 | — |
| PacificSource | $25 - $36 | — |
| Paramount | $17 - $92 | — |
| Presbyterian | $19 - $23 | — |
| Priority Health | $56 | — |
| SelectHealth | $14 - $92 | — |
| Tufts Health Plan | $19 | — |
| WellMed | $23 | — |
| WellSense | $19 | — |
| + 227 smaller / regional plans | $7 - $94 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Saint Alphonsus Regional Medical Center
Compare: Flu vaccine (high dose) at other ID hospitals
- Northwest Specialty Hospital · Post Falls $15
- Mountain View Hospital · Idaho Falls $16
- Saint Alphonsus Medical Center - Nampa · Nampa $19
- West Valley Medical Center · Caldwell $20
- Eastern Idaho Regional Medical Center · Idaho Falls $20
- St Mary's Hospital · Cottonwood $20
- Kootenai Health · Coeur D'Alene $23
- St Luke's Wood River Medical Center · Ketchum $23
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Alphonsus Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $26
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $26).
Self-Pay Cash Rate ($51) Beats Your Bill
Saint Alphonsus Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $51 (vs. $19 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $21 Fair BaseRate ($12 Medicare)
Your bill ($71) is $50 above the denoised Fair BaseRate ($21) and 5.9× the $12 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.