CMS Price Transparency Data

Neurobehavioral status check

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$95
about 0.4× the $221 Medicare rate · typically $73–$210
modeled estimate · not a bill or quote
What this hospital charges insurers
$71
Below the fair price — a good deal
about $24 under the fair price · 0.3× Medicare
Medicare pays $221 Fair price $95 This hospital $71 Cash price $251 Hospital's list price $308

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Lowest price of the 8 ID hospitals we have prices for — a strong deal.

Cheapest $71 Priciest $803

Black dot = this hospital, among the 8 ID hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Neurobehavioral status check is about $95 (about 0.4× the $221 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $71, or about $251 in cash — below the fair price — a good deal. 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

✓ 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 $51 - $365 23%
Blue Cross Blue Shieldmajor $51 - $989 23%
Aetnamajor $51 - $335 23%
Cignamajor $51 - $318 23%
Humanamajor $51 - $365 23%
Kaiser Permanentemajor $164 - $468 74%
Ambetter (Centene) $51 23%
Clover Health $69 31%
Dean Health Plan $209 - $328 95%
GEHA $163 - $335 74%
Health Net $51 - $328 23%
HealthPartners $51 23%
Meridian $51 - $69 23%
Moda Health $148 - $328 67%
Molina $51 - $137 23%
PacificSource $92 - $266 42%
Paramount $51 - $328 23%
Presbyterian $51 - $69 23%
Priority Health $318 144%
SelectHealth $148 - $398 67%
Tufts Health Plan $51 23%
WellMed $69 31%
WellSense $51 23%
+ 365 smaller / regional plans $51 - $989
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 13 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

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