CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$24,572

about 1.9× the $12,807 Medicare rate · typically $15,784–$41,549

modeled estimate · not a bill or quote

What this hospital charges insurers

$37,288

Above the fair price

about $12,716 over the fair price · 2.9× Medicare

Medicare pays $12,807 Fair price $24,572 This hospital $37,288 Cash price $58,392

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Highest price of the 9 ID hospitals we have prices for — worth calling around.

Cheapest $12,209 Priciest $37,288

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a Heart stent placement (inpatient stay) is about $24,572 (about 1.9× the $12,807 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $37,288, or about $58,392 in cash — above the fair price. Located in Boise, ID.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $24,572. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

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	$14,957	117%
Blue Cross Blue Shieldmajor	$14,957 - $40,625	117%
Aetnamajor	$15,406	120%
Cignamajor	$35,015	273%
Humanamajor	$15,495	121%
Kaiser Permanentemajor	$40,625	317%
Moda Health	$15,256 - $27,473	119%
Molina	$36,020	281%
Priority Health	$35,015	273%
+ 10 smaller / regional plans	$15,556 - $40,625

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 58,392), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 322.

Insurance Before you use insurance

Call your insurance company to confirm Saint Alphonsus Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 322.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Alphonsus Regional Medical Center

Compare: Heart stent placement (inpatient stay) at other ID hospitals

Treasure Valley Hospital · Boise $12,209
Idaho Falls Community Hospital, LLC · Idaho Falls $12,949
Northwest Specialty Hospital · Post Falls $12,994
Mountain View Hospital · Idaho Falls $14,101
Kootenai Health · Coeur D'Alene $14,768
Madison Memorial Hospital · Rexburg $16,328
West Valley Medical Center · Caldwell $16,347
Eastern Idaho Regional Medical Center · Idaho Falls $33,876

Insurance negotiated median for the same procedure, sorted lowest first.