CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $236
  • Cash Discount Price: $1,768
  • vs. Medicare Baseline: 0.07x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Saint Alphonsus Regional Medical Center is $236. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,768. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.07x the Medicare baseline. Located in 1055 North Curtis Road, Boise, ID.
Cash / Self-Pay
$1,768

Average discount available for prompt cash payment at this facility.

Insurance Median
$236

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3,342.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,342.87 (100%)
Cash / Self-Pay: $1,768 (53%)
Insurance Median: $236 (7%)
Cash: $1,768 (53% of Medicare)
Ins. Median: $236 (7% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3,342.87 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
Asuris Northwest Health $58 - $2,892 2%
Blue Shield - Id (Regence) $58 - $3,084 2%
Healthcare Management Admin $58 - $2,892 2%
Humana $63 - $1,925 2%
Moda Health $65 - $6,862 2%
Mountain Health Co-Op $65 - $974 2%
Selecthealth $65 - $5,355 2%
Aetna $66 - $3,566 2%
Meritain $66 - $413 2%
Webtpa $68 - $9,327 2%
Providence $72 - $21,850 2%
Molina Marketplace $74 - $8,338 2%
Blue Cross Blue Shield $83 - $3,462 2%
Bcn Domestic $87 - $816 3%
Blue Benefit Administrators Of Massachusetts $87 - $816 3%
Blue Care Network $87 - $816 3%
Blue Distinction Transplant $87 - $816 3%
Blue Shield - Ca $87 - $816 3%
Blue Shield - Ny Highmark Northeastern $87 - $816 3%
Blue Shield - Ny Highmark Western $87 - $816 3%
Blue Shield - Pa (Highmark) $87 - $816 3%
Blue Shield - Wa (Regence) $87 - $2,892 3%
Health Choices $87 - $816 3%
Kaiser Domestic $87 - $816 3%
Pre-Employment $87 - $816 3%
Wc Domestic $87 - $816 3%
Medicaid / KanCare $89 - $1,220 3%
Pacificsource Health Plans $89 - $5,653 3%
Health Plans Inc $90 - $847 3%
Ms Administrative Services $90 - $847 3%
Geha $92 - $866 3%
UnitedHealthcare $92 - $3,462 3%
First Choice Health $103 - $966 3%
Allied National Global Care $115 - $1,079 3%
Asrm - Reliance Standard Life Insurance $115 - $1,079 3%
Christian Care Ministry $115 - $1,079 3%
Dean Health $115 - $1,079 3%
Fallon Health $115 - $1,079 3%
Family Life Insurance Company $115 - $1,079 3%
Ghc Scw $115 - $1,079 3%
International Benefit Administrators $115 - $1,079 3%
Lifetime Benefit Solutions $115 - $1,079 3%
Manhattan Life $115 - $1,079 3%
Medi Share $115 - $1,079 3%
Multiplan $115 - $1,079 3%
Pai $115 - $1,079 3%
Pan-American Life $115 - $1,079 3%
Paramount Hmo $115 - $1,079 3%
Phcs $115 - $1,079 3%
Trinity Health Share $115 - $1,079 3%
Allegiance $125 - $1,175 4%
Andrie Inc $195 - $1,009 6%
East Greenbush Central School District $195 - $1,009 6%
Genex Wc $195 - $1,009 6%
Healthsmart Workers Comp $195 - $1,009 6%
Jag Source $195 - $1,009 6%
New York State Insurance Fund $195 - $1,009 6%
Njm Insurance Group $195 - $1,009 6%
Rx Heatlhcomp $195 - $1,009 6%
Rx Restat $195 - $1,009 6%
Rx Saif Opdp Wc $195 - $1,009 6%
Rx Worker'S Comp $195 - $1,009 6%
Wc Accident Fund $195 - $1,009 6%
Wc Ace $195 - $1,009 6%
Wc Acs Federal Employees $195 - $1,009 6%
Wc Acuity $195 - $1,009 6%
Wc Advantage $195 - $1,009 6%
Wc Aegis $195 - $1,009 6%
Wc Aig $195 - $1,009 6%
Wc Aims $195 - $1,009 6%
Wc Alaska National Ins $195 - $1,009 6%
Wc Align Network $195 - $1,009 6%
Wc Allied $195 - $1,009 6%
Wc Am Trust N America $195 - $1,009 6%
Wc American Claims Mgmt $195 - $1,009 6%
Wc Amerisure $195 - $1,009 6%
Wc Amtrust $195 - $1,009 6%
Wc Asu Risk Mgt $195 - $1,009 6%
Wc Benetech $195 - $1,009 6%
Wc Berkley Admin $195 - $1,009 6%
Wc Broadspire $195 - $1,009 6%
Wc Broward County $195 - $1,009 6%
Wc Bunch & Associates $195 - $1,009 6%
Wc California State Comp Ins $195 - $1,009 6%
Wc California State Ins Fund $195 - $1,009 6%
Wc Capitol Area Health Consortium $195 - $1,009 6%
Wc Ccmsi $195 - $1,009 6%
Wc Chartis $195 - $1,009 6%
Wc Chubb $195 - $1,009 6%
Wc Cirma $195 - $1,009 6%
Wc City Of Albany $195 - $1,009 6%
Wc City Of Sioux City $195 - $1,009 6%
Wc Claims Mgmt Inc $195 - $1,009 6%
Wc Cna $195 - $1,009 6%
Wc Comp One Admin C/O Manageability $195 - $1,009 6%
Wc Compone Admin $195 - $1,009 6%
Wc Corvel $195 - $1,009 6%
Wc Ct Healthcare Trust $195 - $1,009 6%
Wc Donegal Insurance Group $195 - $1,009 6%
Wc Emc Insurance Company $195 - $1,009 6%
Wc Employee Mutual $195 - $1,009 6%
Wc Enablecomp $195 - $1,009 6%
Wc Encore Health Network $195 - $1,009 6%
Wc Erie $195 - $1,009 6%
Wc Esis $195 - $1,009 6%
Wc Evolutions $195 - $1,009 6%
Wc Fcci $195 - $1,009 6%
Wc Fed Ex $195 - $1,009 6%
Wc Federal Black Lung $195 - $1,009 6%
Wc Federated $195 - $1,009 6%
Wc Finley Occupational Health $195 - $1,009 6%
Wc First Agency/Occunet $195 - $1,009 6%
Wc Ford Motor $195 - $1,009 6%
Wc Fresno Unified Emp $195 - $1,009 6%
Wc Gallagher Bassett $195 - $1,009 6%
Wc General Motors $195 - $1,009 6%
Wc Generic $195 - $1,009 6%
Wc Genex Care For Ohio $195 - $1,009 6%
Wc Great West Casualty $195 - $1,009 6%
Wc Guarantee Insurance $195 - $1,009 6%
Wc Guard Insurance Company $195 - $1,009 6%
Wc Hab $195 - $1,009 6%
Wc Hartford $195 - $1,009 6%
Wc Hastings $195 - $1,009 6%
Wc Health Management $195 - $1,009 6%
Wc Heritage Summit $195 - $1,009 6%
Wc Hireright $195 - $1,009 6%
Wc Horizon $195 - $1,009 6%
Wc Icw Group $195 - $1,009 6%
Wc Idaho State Ins Fund $195 - $1,009 6%
Wc Intercare Insurance $195 - $1,009 6%
Wc Intermountain $195 - $1,009 6%
Wc Johns Eastern $195 - $1,009 6%
Wc Kemberton $195 - $1,009 6%
Wc Key Ins & Benefit Solutions $195 - $1,009 6%
Wc Liberty Mutual $195 - $1,009 6%
Wc Mac Risk Management $195 - $1,009 6%
Wc Massachusetts $195 - $1,009 6%
Wc Mdia $195 - $1,009 6%
Wc Meadowbrook Claim $195 - $1,009 6%
Wc Medical Administrators $195 - $1,009 6%
Wc Meijers $195 - $1,009 6%
Wc Memic $195 - $1,009 6%
Wc Mercy Workcare $195 - $1,009 6%
Wc Michigan $195 - $1,009 6%
Wc Michigan Millers Mutual $195 - $1,009 6%
Wc Mitchell Frankenmuth $195 - $1,009 6%
Wc Mra $195 - $1,009 6%
Wc Nationwide $195 - $1,009 6%
Wc Nca Comp $195 - $1,009 6%
Wc New York $195 - $1,009 6%
Wc New York Special Funds $195 - $1,009 6%
Wc North American Rishces $195 - $1,009 6%
Wc Northeast Health $195 - $1,009 6%
Wc Notre Dame $195 - $1,009 6%
Wc Novanet $195 - $1,009 6%
Wc O'Hara Corp $195 - $1,009 6%
Wc Occ Health Allen $195 - $1,009 6%
Wc Ohio Bureau $195 - $1,009 6%
Wc One Call Medical $195 - $1,009 6%
Wc Paradigm $195 - $1,009 6%
Wc Peerless $195 - $1,009 6%
Wc Pma $195 - $1,009 6%
Wc Praxis Health Network $195 - $1,009 6%
Wc Price Chopper $195 - $1,009 6%
Wc Procura Management $195 - $1,009 6%
Wc Qualcare $195 - $1,009 6%
Wc Quiktrip $195 - $1,009 6%
Wc Reny Company $195 - $1,009 6%
Wc Rev Claims $195 - $1,009 6%
Wc Risico $195 - $1,009 6%
Wc Rural Mutual $195 - $1,009 6%
Wc Saif Oregon $195 - $1,009 6%
Wc Secura $195 - $1,009 6%
Wc Sedgwick $195 - $1,009 6%
Wc Sentry $195 - $1,009 6%
Wc Sheakley Unicomp $195 - $1,009 6%
Wc Smile Lodge $195 - $1,009 6%
Wc Society $195 - $1,009 6%
Wc Srs $195 - $1,009 6%
Wc Taconic (Mro) $195 - $1,009 6%
Wc Taconic Farms $195 - $1,009 6%
Wc Travelers $195 - $1,009 6%
Wc Triad Group $195 - $1,009 6%
Wc Tristar $195 - $1,009 6%
Wc Troy Ny $195 - $1,009 6%
Wc Tyson $195 - $1,009 6%
Wc Unified Health Services $195 - $1,009 6%
Wc United Heartland $195 - $1,009 6%
Wc Us Dept Of Labor $195 - $1,009 6%
Wc Velocity $195 - $1,009 6%
Wc Walmart $195 - $1,009 6%
Wc West Bend $195 - $1,009 6%
Wc West Bend Mutual/Argent $195 - $1,009 6%
Wc Winnebago Industries $195 - $1,009 6%
Wc Yankee Trails $195 - $1,009 6%
Wc York Risk $195 - $1,009 6%
Wc Zenith $195 - $1,009 6%
Wc Zurich $195 - $1,009 6%
Albany County Correctional Facility $211 - $317 6%
Ambetter / Centene $211 - $317 6%
Amish Mennonite $211 - $317 6%
Ascension St. Vincent Public Safety Medical $211 - $317 6%
Bcccp-Michigan $211 - $317 6%
Bccp $211 - $317 6%
Bmc Healthnet $211 - $317 6%
Breast Grant-Connecticut $211 - $317 6%
Broward County Dept Of Health $211 - $317 6%
California Health And Wellness $211 - $317 6%
Can Community Health Inc $211 - $317 6%
Cardinal Innovations Lme $211 - $317 6%
Care Connections Of Northern Iowa $211 - $317 6%
Care Oregon Ohp $211 - $317 6%
Cencal Health Plan $211 - $317 6%
Cenpatico $211 - $317 6%
Centurion Of Idaho $211 - $317 6%
Chhuny $211 - $317 6%
Childrens Comm Health Plan $211 - $317 6%
Childrens Medical Services Title 19 $211 - $317 6%
Cigna $211 - $21,850 6%
City Of Philadelphia $211 - $317 6%
Cmh Allegan County $211 - $317 6%
Cmh Ausable Valley $211 - $317 6%
Cmh Barry County $211 - $317 6%
Cmh Bay-Arenac County $211 - $317 6%
Cmh Berrien County $211 - $317 6%
Cmh Cass County $211 - $317 6%
Cmh Central Mi County $211 - $317 6%
Cmh Clinton-Eaton-Ingham County $211 - $317 6%
Cmh Detroit Wayne Integrated Health Network $211 - $317 6%
Cmh Genesee County $211 - $317 6%
Cmh Ionia County $211 - $317 6%
Cmh Jackson County/Lifeways $211 - $317 6%
Cmh Kalamazoo $211 - $317 6%
Cmh Kent County $211 - $317 6%
Cmh Lenawee County $211 - $317 6%
Cmh Livingston County $211 - $317 6%
Cmh Macomb $211 - $317 6%
Cmh Misc $211 - $317 6%
Cmh Monroe County $211 - $317 6%
Cmh Montcalm County $211 - $317 6%
Cmh Muskegon County $211 - $317 6%
Cmh Newaygo County $211 - $317 6%
Cmh North Country $211 - $317 6%
Cmh Northern Lakes County $211 - $317 6%
Cmh Oakland County $211 - $317 6%
Cmh Ottawa County $211 - $317 6%
Cmh Van Buren County $211 - $317 6%
Cmh Washtenaw County $211 - $317 6%
Cmh Wayne County/Carelink $211 - $317 6%
Cmh Wayne Cty/Com Liv Svcs $211 - $317 6%
Cmh West Mi County $211 - $317 6%
Community Benefit Health $211 - $317 6%
Community Care Behavorial Health $211 - $317 6%
Community Care Partners $211 - $317 6%
Community Health Choice $211 - $317 6%
Connections Csp $211 - $317 6%
County Coroner $211 - $317 6%
County Funding Generic $211 - $317 6%
Covid19 Hrsa Uninsured Testing And Treatment Fund $211 - $317 6%
Dean Wi Badgercare $211 - $317 6%
Delaware County Department Of Health $211 - $317 6%
Delaware First Health $211 - $317 6%
Delta Dental Nj $211 - $317 6%
Dph Tb Program $211 - $317 6%
Dscc $211 - $317 6%
Eastpointe Lme $211 - $317 6%
Family Health Network $211 - $317 6%
Freedom First Healthcare $211 - $317 6%
Fresno County Ccs $211 - $317 6%
Ghc Scw Wi Badgercare $211 - $317 6%
Harbor Health $211 - $317 6%
Health Safety Net $211 - $317 6%
Healthy Blue Ne $211 - $317 6%
Hennepin Health $211 - $317 6%
Id County Ada $211 - $317 6%
Id County Canyon $211 - $317 6%
Id County Cat Fund $211 - $317 6%
Id County Other $211 - $317 6%
Id County Payette $211 - $317 6%
Idaho Dept Health And Wellfare $211 - $317 6%
Idaho Womens Health Check $211 - $317 6%
Indiana Breast Cervical Cancer $211 - $317 6%
Inland Empire Health Plan $211 - $317 6%
Intercommunity Health Ohp $211 - $317 6%
Iowa Total Care $211 - $317 6%
Jai Medical System $211 - $317 6%
Kern Family Health Plan $211 - $317 6%
Keystone First $211 - $317 6%
Keystone First Chip $211 - $317 6%
La Care Health Plan $211 - $317 6%
Lakeland Care Inc $211 - $317 6%
Managed Health Services - Indiana $211 - $317 6%
Maryland Breast & Cervical Program $211 - $317 6%
Maryland Healthy Smiles - Scion Dental $211 - $317 6%
Maryland Physicians Care $211 - $317 6%
Massachusetts Behavioral Health Partnership $211 - $317 6%
Mdwise $211 - $317 6%
Medi-Cal $211 - $317 6%
Medi-Cal Healthnet $211 - $317 6%
Medstar Dc Healthy Family $211 - $317 6%
Medstar Md Health Choice $211 - $317 6%
Mo Home State Health Plan $211 - $317 6%
Molina Centennial Care $211 - $317 6%
Nascentia Health Options $211 - $317 6%
Nebraska Total Care $211 - $317 6%
New York Cancer Services Program $211 - $317 6%
Nextlevel Health $211 - $317 6%
Pace Of Southwest Michigan $211 - $347 6%
Paramount Advantage $211 - $317 6%
Parkland Community Health Plan $211 - $317 6%
Partners Behavioral Lme $211 - $317 6%
Peach State Healthplan $211 - $317 6%
Philadelphia County Funding $211 - $317 6%
Presbyterian Centennial Care $211 - $317 6%
Prestige Health Choice $211 - $317 6%
Priority Partners $211 - $317 6%
Robert F Sing Program $211 - $317 6%
Rx 340B Pass Along $211 - $317 6%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $211 - $317 6%
Rx Medi-Cal $211 - $317 6%
Rx Meridian Rx $211 - $317 6%
Ryan White Florida Mssrp $211 - $317 6%
Sandhills Center Lme $211 - $317 6%
Screening For Life $211 - $317 6%
St Joseph County Hlth Dpt $211 - $317 6%
Stephenson Cty Health $211 - $317 6%
Sunshine State Health Plan $211 - $317 6%
Superior Health $211 - $317 6%
Tenncare $211 - $317 6%
Texas Children'S Health Plan $211 - $317 6%
Trillium Community Ohp $211 - $317 6%
Tufts Health Public Plans $211 - $317 6%
Vaya Health Lme $211 - $317 6%
Washtenaw Health Plan $211 - $317 6%
Wellsense Health Plan $211 - $317 6%
Wi Womens Wellness $211 - $317 6%
Oregon Screenwise $217 6%
Align Senior Care $231 - $347 7%
Ally Align Care Adv $231 - $347 7%
American Health Plan $231 - $347 7%
Aurora Special Needs $231 - $347 7%
Blue Care Network Advantage $231 - $347 7%
Blue Shield - De (Highmark) Medciare Advantage $231 - $347 7%
Care Dimensions $231 - $347 7%
Care Improvement Plus $231 - $347 7%
Care Resources Pace $231 - $347 7%
Careplus Health Plans $231 - $347 7%
Cca - Zing Health $231 - $347 7%
Cca Senior Care Options $231 - $347 7%
Central Valley Medical Services Corp Pace $231 - $347 7%
Champion Health Plan Mcr Advantage $231 - $347 7%
Clear Spring Health $231 - $347 7%
Clover Health $231 - $347 7%
Commonwealth Care Alliance $231 - $347 7%
Community Pace At Home $231 - $347 7%
Eddy Senior Care-Pace $231 - $347 7%
Eddy Seniorcare Pace $231 - $347 7%
Elementcare $231 - $347 7%
Evercare $231 - $347 7%
Everence $231 - $347 7%
Gateway Health Plan $231 - $347 7%
Genesys Pace Of Genesee County $231 - $347 7%
Georgia Health Advantage $231 - $347 7%
Gold Advantage $231 - $347 7%
Gpa Croell Redi Mix $231 - $347 7%
Health America Advantra $231 - $347 7%
Highmark Health Options Dual Plan $231 - $347 7%
Hope Select Pace $231 - $347 7%
Horizon Nj Total Care $231 - $347 7%
Hudson Headwaters Pace $231 - $347 7%
Huron Valley Pace $231 - $347 7%
Innovative Integrated Health Community Plans $231 - $347 7%
Iowa Health Advantage $231 - $347 7%
Johns Hopkins Advantage Md $231 - $347 7%
Lasso Healthcare Msa $231 - $347 7%
Life St Marys Pace $231 - $347 7%
Lifecircles Pace $231 - $347 7%
Longevity Health Plan $231 - $347 7%
Longevity Ipa Of Michigan Llc Health Plan Isnp $231 - $347 7%
Martins Point Generations Advantage $231 - $347 7%
Mass General Brigham Mcr Adv $231 - $347 7%
Medicare (plans) $231 - $3,639 7%
Medipak Advantage $231 - $347 7%
Mercy Life $231 - $347 7%
Mercyone Cedar Valley $231 - $347 7%
Meridian Complete $231 - $347 7%
Michigan Complete Health $231 - $347 7%
Nascentia Health Plus $231 - $347 7%
New Centry Health Careplus $231 - $347 7%
Osu Prime Care Advantage $231 - $347 7%
Pace Cny $231 - $347 7%
Pace Iowa Immanuel Pathways $231 - $347 7%
Pace Southeast $231 - $347 7%
Pace-Trinity Health $231 - $347 7%
Peak Pace Solutions $231 - $347 7%
Perennial Advantage $231 - $347 7%
Preferred Care Partners $231 - $347 7%
Presbyterian Senior Plan $231 - $347 7%
Provider Partners Health Plan Of Illinois $231 - $347 7%
Provider Partners Health Plan Of Indiana $231 - $347 7%
Pruitthealth Premier $231 - $347 7%
Reliance Community Care Partners Care Resources Pace $231 - $347 7%
Rx Allwin $231 - $347 7%
Rx Grane Grnmedd $231 - $347 7%
Rx Retiree Rx Care $231 - $347 7%
Scan Health Plan Mcr Ipa Meritage Oon $231 - $347 7%
Secure Horizons Ma Pffs $231 - $347 7%
Serenity Pace $231 - $347 7%
Siouxland Pace $231 - $347 7%
Solis Health Plans $231 - $347 7%
Sunnyview-Pace Finance Dept $231 - $347 7%
Texan Plus $231 - $347 7%
The Health Plan $231 - $347 7%
Thome Pace $231 - $347 7%
Todays Options $231 - $347 7%
Tribute Health Plans $231 - $347 7%
Um Health Advantage $231 - $347 7%
Union Health Service $231 - $347 7%
Welbe Health $231 - $347 7%
Wellmed $231 - $347 7%
Veterans Administration $236 - $354 7%
American Health Advantage Of Idaho $241 - $3,601 7%
Champva $245 - $367 7%
Tricare $245 - $367 7%
Triwest Health Alliance $245 - $367 7%
Us Family Health Plan $245 - $367 7%
Veterans Eval Services $245 - $367 7%
Healthnet $518 - $903 15%
Priority Health $21,850 654%

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