CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $92
  • Cash Discount Price: $211
  • vs. Medicare Baseline: 0.78x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Saint Alphonsus Regional Medical Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.78x the Medicare baseline. Located in 1055 North Curtis Road, Boise, ID.
Cash / Self-Pay
$211

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $211 (179%)
Insurance Median: $92 (78%)
Cash: $211 (179% of Medicare)
Ins. Median: $92 (78% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

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 $46 - $102 39%
Aetna $66 - $237 56%
Align Senior Care $66 - $92 56%
Ally Align Care Adv $66 - $92 56%
American Health Plan $66 - $92 56%
Aurora Special Needs $66 - $92 56%
Blue Care Network Advantage $66 - $92 56%
Blue Cross Blue Shield $66 - $225 56%
Blue Shield - De (Highmark) Medciare Advantage $66 - $92 56%
Care Dimensions $66 - $92 56%
Care Improvement Plus $66 - $92 56%
Care Resources Pace $66 - $92 56%
Careplus Health Plans $66 - $92 56%
Cca - Zing Health $66 - $92 56%
Cca Senior Care Options $66 - $92 56%
Central Valley Medical Services Corp Pace $66 - $92 56%
Champion Health Plan Mcr Advantage $66 - $92 56%
Cigna $66 - $188 56%
Clear Spring Health $66 - $92 56%
Clover Health $66 - $92 56%
Commonwealth Care Alliance $66 - $92 56%
Community Pace At Home $66 - $92 56%
Eddy Senior Care-Pace $66 - $92 56%
Eddy Seniorcare Pace $66 - $92 56%
Elementcare $66 - $92 56%
Evercare $66 - $92 56%
Everence $66 - $92 56%
Gateway Health Plan $66 - $92 56%
Genesys Pace Of Genesee County $66 - $92 56%
Georgia Health Advantage $66 - $92 56%
Gold Advantage $66 - $92 56%
Gpa Croell Redi Mix $66 - $92 56%
Health America Advantra $66 - $92 56%
Highmark Health Options Dual Plan $66 - $92 56%
Hope Select Pace $66 - $92 56%
Horizon Nj Total Care $66 - $92 56%
Hudson Headwaters Pace $66 - $92 56%
Humana $66 - $155 56%
Huron Valley Pace $66 - $92 56%
Innovative Integrated Health Community Plans $66 - $92 56%
Iowa Health Advantage $66 - $92 56%
Johns Hopkins Advantage Md $66 - $92 56%
Lasso Healthcare Msa $66 - $92 56%
Life St Marys Pace $66 - $92 56%
Lifecircles Pace $66 - $92 56%
Longevity Health Plan $66 - $92 56%
Longevity Ipa Of Michigan Llc Health Plan Isnp $66 - $92 56%
Martins Point Generations Advantage $66 - $92 56%
Mass General Brigham Mcr Adv $66 - $92 56%
Medicare (plans) $66 - $102 56%
Medipak Advantage $66 - $92 56%
Mercy Life $66 - $92 56%
Mercyone Cedar Valley $66 - $92 56%
Meridian Complete $66 - $92 56%
Michigan Complete Health $66 - $92 56%
Nascentia Health Plus $66 - $92 56%
New Centry Health Careplus $66 - $92 56%
Osu Prime Care Advantage $66 - $92 56%
Pace Cny $66 - $92 56%
Pace Iowa Immanuel Pathways $66 - $92 56%
Pace Of Southwest Michigan $66 - $92 56%
Pace Southeast $66 - $92 56%
Pace-Trinity Health $66 - $92 56%
Peak Pace Solutions $66 - $92 56%
Perennial Advantage $66 - $92 56%
Preferred Care Partners $66 - $92 56%
Presbyterian Senior Plan $66 - $92 56%
Provider Partners Health Plan Of Illinois $66 - $92 56%
Provider Partners Health Plan Of Indiana $66 - $92 56%
Pruitthealth Premier $66 - $92 56%
Reliance Community Care Partners Care Resources Pace $66 - $92 56%
Rx Allwin $66 - $92 56%
Rx Grane Grnmedd $66 - $92 56%
Rx Retiree Rx Care $66 - $92 56%
Scan Health Plan Mcr Ipa Meritage Oon $66 - $92 56%
Secure Horizons Ma Pffs $66 - $92 56%
Serenity Pace $66 - $92 56%
Siouxland Pace $66 - $92 56%
Solis Health Plans $66 - $92 56%
Sunnyview-Pace Finance Dept $66 - $92 56%
Texan Plus $66 - $92 56%
The Health Plan $66 - $92 56%
Thome Pace $66 - $92 56%
Todays Options $66 - $92 56%
Tribute Health Plans $66 - $92 56%
Um Health Advantage $66 - $92 56%
Union Health Service $66 - $92 56%
UnitedHealthcare $66 - $206 56%
Welbe Health $66 - $92 56%
Wellmed $66 - $92 56%
Albany County Correctional Facility $68 - $83 58%
Ambetter / Centene $68 - $83 58%
Amish Mennonite $68 - $83 58%
Ascension St. Vincent Public Safety Medical $68 - $83 58%
Bcccp-Michigan $68 - $83 58%
Bccp $68 - $83 58%
Bmc Healthnet $68 - $83 58%
Breast Grant-Connecticut $68 - $83 58%
Broward County Dept Of Health $68 - $83 58%
California Health And Wellness $68 - $83 58%
Can Community Health Inc $68 - $83 58%
Cardinal Innovations Lme $68 - $83 58%
Care Connections Of Northern Iowa $68 - $83 58%
Care Oregon Ohp $68 - $83 58%
Cencal Health Plan $68 - $83 58%
Cenpatico $68 - $83 58%
Centurion Of Idaho $68 - $83 58%
Chhuny $68 - $83 58%
Childrens Comm Health Plan $68 - $83 58%
Childrens Medical Services Title 19 $68 - $83 58%
City Of Philadelphia $68 - $83 58%
Cmh Allegan County $68 - $83 58%
Cmh Ausable Valley $68 - $83 58%
Cmh Barry County $68 - $83 58%
Cmh Bay-Arenac County $68 - $83 58%
Cmh Berrien County $68 - $83 58%
Cmh Cass County $68 - $83 58%
Cmh Central Mi County $68 - $83 58%
Cmh Clinton-Eaton-Ingham County $68 - $83 58%
Cmh Detroit Wayne Integrated Health Network $68 - $83 58%
Cmh Genesee County $68 - $83 58%
Cmh Ionia County $68 - $83 58%
Cmh Jackson County/Lifeways $68 - $83 58%
Cmh Kalamazoo $68 - $83 58%
Cmh Kent County $68 - $83 58%
Cmh Lenawee County $68 - $83 58%
Cmh Livingston County $68 - $83 58%
Cmh Macomb $68 - $83 58%
Cmh Misc $68 - $83 58%
Cmh Monroe County $68 - $83 58%
Cmh Montcalm County $68 - $83 58%
Cmh Muskegon County $68 - $83 58%
Cmh Newaygo County $68 - $83 58%
Cmh North Country $68 - $83 58%
Cmh Northern Lakes County $68 - $83 58%
Cmh Oakland County $68 - $83 58%
Cmh Ottawa County $68 - $83 58%
Cmh Van Buren County $68 - $83 58%
Cmh Washtenaw County $68 - $83 58%
Cmh Wayne County/Carelink $68 - $83 58%
Cmh Wayne Cty/Com Liv Svcs $68 - $83 58%
Cmh West Mi County $68 - $83 58%
Community Benefit Health $68 - $83 58%
Community Care Behavorial Health $68 - $83 58%
Community Care Partners $68 - $83 58%
Community Health Choice $68 - $83 58%
Connections Csp $68 - $83 58%
County Coroner $68 - $83 58%
County Funding Generic $68 - $83 58%
Covid19 Hrsa Uninsured Testing And Treatment Fund $68 - $83 58%
Dean Wi Badgercare $68 - $83 58%
Delaware County Department Of Health $68 - $83 58%
Delaware First Health $68 - $83 58%
Delta Dental Nj $68 - $83 58%
Dph Tb Program $68 - $83 58%
Dscc $68 - $83 58%
Eastpointe Lme $68 - $83 58%
Family Health Network $68 - $83 58%
Freedom First Healthcare $68 - $83 58%
Fresno County Ccs $68 - $83 58%
Ghc Scw Wi Badgercare $68 - $83 58%
Harbor Health $68 - $83 58%
Health Safety Net $68 - $83 58%
Healthy Blue Ne $68 - $83 58%
Hennepin Health $68 - $83 58%
Id County Ada $68 - $83 58%
Id County Canyon $68 - $83 58%
Id County Cat Fund $68 - $83 58%
Id County Other $68 - $83 58%
Id County Payette $68 - $83 58%
Idaho Dept Health And Wellfare $68 - $83 58%
Idaho Womens Health Check $68 - $83 58%
Indiana Breast Cervical Cancer $68 - $83 58%
Inland Empire Health Plan $68 - $83 58%
Intercommunity Health Ohp $68 - $83 58%
Iowa Total Care $68 - $83 58%
Jai Medical System $68 - $83 58%
Kern Family Health Plan $68 - $83 58%
Keystone First $68 - $83 58%
Keystone First Chip $68 - $83 58%
La Care Health Plan $68 - $83 58%
Lakeland Care Inc $68 - $83 58%
Managed Health Services - Indiana $68 - $83 58%
Maryland Breast & Cervical Program $68 - $83 58%
Maryland Healthy Smiles - Scion Dental $68 - $83 58%
Maryland Physicians Care $68 - $83 58%
Massachusetts Behavioral Health Partnership $68 - $83 58%
Mdwise $68 - $83 58%
Medi-Cal $68 - $83 58%
Medi-Cal Healthnet $68 - $83 58%
Medstar Dc Healthy Family $68 - $83 58%
Medstar Md Health Choice $68 - $83 58%
Mo Home State Health Plan $68 - $83 58%
Molina Centennial Care $68 - $83 58%
Nascentia Health Options $68 - $83 58%
Nebraska Total Care $68 - $83 58%
New York Cancer Services Program $68 - $83 58%
Nextlevel Health $68 - $83 58%
Paramount Advantage $68 - $83 58%
Parkland Community Health Plan $68 - $83 58%
Partners Behavioral Lme $68 - $83 58%
Peach State Healthplan $68 - $83 58%
Philadelphia County Funding $68 - $83 58%
Presbyterian Centennial Care $68 - $83 58%
Prestige Health Choice $68 - $83 58%
Priority Partners $68 - $83 58%
Robert F Sing Program $68 - $83 58%
Rx 340B Pass Along $68 - $83 58%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $68 - $83 58%
Rx Medi-Cal $68 - $83 58%
Rx Meridian Rx $68 - $83 58%
Ryan White Florida Mssrp $68 - $83 58%
Sandhills Center Lme $68 - $83 58%
Screening For Life $68 - $83 58%
St Joseph County Hlth Dpt $68 - $83 58%
Stephenson Cty Health $68 - $83 58%
Sunshine State Health Plan $68 - $83 58%
Superior Health $68 - $83 58%
Tenncare $68 - $83 58%
Texas Children'S Health Plan $68 - $83 58%
Trillium Community Ohp $68 - $83 58%
Tufts Health Public Plans $68 - $83 58%
Vaya Health Lme $68 - $83 58%
Veterans Administration $68 - $94 58%
Washtenaw Health Plan $68 - $83 58%
Wellsense Health Plan $68 - $83 58%
Wi Womens Wellness $68 - $83 58%
American Health Advantage Of Idaho $69 - $97 59%
Champva $74 - $86 63%
Tricare $74 - $86 63%
Triwest Health Alliance $74 - $86 63%
Us Family Health Plan $74 - $86 63%
Veterans Eval Services $74 - $86 63%
Oregon Screenwise $85 - $89 72%
Healthnet $101 86%
Pacificsource Health Plans $118 - $182 100%
Webtpa $122 - $178 104%
Allied Benefit Systems $124 - $165 105%
Asr Health Benefits $124 - $165 105%
Boon Chapman $124 - $165 105%
Christian Brother Services $124 - $165 105%
Geha $124 - $206 105%
Healthscope $124 - $165 105%
Luminare Health (Detroit) $124 - $165 105%
Meritain $124 - $165 105%
Rural Carrier Health Benefit Plan $124 - $165 105%
First Choice Health $129 - $178 110%
Providence $129 - $188 110%
Molina Marketplace $132 - $182 112%
Asuris Northwest Health $135 - $183 115%
Blue Shield - Id (Regence) $135 - $197 115%
Healthcare Management Admin $135 - $183 115%
Moda Health $146 - $216 124%
Mountain Health Co-Op $146 - $197 124%
Selecthealth $146 - $240 124%
Andrie Inc $149 - $237 127%
East Greenbush Central School District $149 - $237 127%
Genex Wc $149 - $237 127%
Healthsmart Workers Comp $149 - $237 127%
Jag Source $149 - $237 127%
New York State Insurance Fund $149 - $237 127%
Njm Insurance Group $149 - $237 127%
Rx Heatlhcomp $149 - $237 127%
Rx Restat $149 - $237 127%
Rx Saif Opdp Wc $149 - $237 127%
Rx Worker'S Comp $149 - $237 127%
Wc Accident Fund $149 - $237 127%
Wc Ace $149 - $237 127%
Wc Acs Federal Employees $149 - $237 127%
Wc Acuity $149 - $237 127%
Wc Advantage $149 - $237 127%
Wc Aegis $149 - $237 127%
Wc Aig $149 - $237 127%
Wc Aims $149 - $237 127%
Wc Alaska National Ins $149 - $237 127%
Wc Align Network $149 - $237 127%
Wc Allied $149 - $237 127%
Wc Am Trust N America $149 - $237 127%
Wc American Claims Mgmt $149 - $237 127%
Wc Amerisure $149 - $237 127%
Wc Amtrust $149 - $237 127%
Wc Asu Risk Mgt $149 - $237 127%
Wc Benetech $149 - $237 127%
Wc Berkley Admin $149 - $237 127%
Wc Broadspire $149 - $237 127%
Wc Broward County $149 - $237 127%
Wc Bunch & Associates $149 - $237 127%
Wc California State Comp Ins $149 - $237 127%
Wc California State Ins Fund $149 - $237 127%
Wc Capitol Area Health Consortium $149 - $237 127%
Wc Ccmsi $149 - $237 127%
Wc Chartis $149 - $237 127%
Wc Chubb $149 - $237 127%
Wc Cirma $149 - $237 127%
Wc City Of Albany $149 - $237 127%
Wc City Of Sioux City $149 - $237 127%
Wc Claims Mgmt Inc $149 - $237 127%
Wc Cna $149 - $237 127%
Wc Comp One Admin C/O Manageability $149 - $237 127%
Wc Compone Admin $149 - $237 127%
Wc Corvel $149 - $237 127%
Wc Ct Healthcare Trust $149 - $237 127%
Wc Donegal Insurance Group $149 - $237 127%
Wc Emc Insurance Company $149 - $237 127%
Wc Employee Mutual $149 - $237 127%
Wc Enablecomp $149 - $237 127%
Wc Encore Health Network $149 - $237 127%
Wc Erie $149 - $237 127%
Wc Esis $149 - $237 127%
Wc Evolutions $149 - $237 127%
Wc Fcci $149 - $237 127%
Wc Fed Ex $149 - $237 127%
Wc Federal Black Lung $149 - $237 127%
Wc Federated $149 - $237 127%
Wc Finley Occupational Health $149 - $237 127%
Wc First Agency/Occunet $149 - $237 127%
Wc Ford Motor $149 - $237 127%
Wc Fresno Unified Emp $149 - $237 127%
Wc Gallagher Bassett $149 - $237 127%
Wc General Motors $149 - $237 127%
Wc Generic $149 - $237 127%
Wc Genex Care For Ohio $149 - $237 127%
Wc Great West Casualty $149 - $237 127%
Wc Guarantee Insurance $149 - $237 127%
Wc Guard Insurance Company $149 - $237 127%
Wc Hab $149 - $237 127%
Wc Hartford $149 - $237 127%
Wc Hastings $149 - $237 127%
Wc Health Management $149 - $237 127%
Wc Heritage Summit $149 - $237 127%
Wc Hireright $149 - $237 127%
Wc Horizon $149 - $237 127%
Wc Icw Group $149 - $237 127%
Wc Idaho State Ins Fund $149 - $237 127%
Wc Intercare Insurance $149 - $237 127%
Wc Intermountain $149 - $237 127%
Wc Johns Eastern $149 - $237 127%
Wc Kemberton $149 - $237 127%
Wc Key Ins & Benefit Solutions $149 - $237 127%
Wc Liberty Mutual $149 - $237 127%
Wc Mac Risk Management $149 - $237 127%
Wc Massachusetts $149 - $237 127%
Wc Mdia $149 - $237 127%
Wc Meadowbrook Claim $149 - $237 127%
Wc Medical Administrators $149 - $237 127%
Wc Meijers $149 - $237 127%
Wc Memic $149 - $237 127%
Wc Mercy Workcare $149 - $237 127%
Wc Michigan $149 - $237 127%
Wc Michigan Millers Mutual $149 - $237 127%
Wc Mitchell Frankenmuth $149 - $237 127%
Wc Mra $149 - $237 127%
Wc Nationwide $149 - $237 127%
Wc Nca Comp $149 - $237 127%
Wc New York $149 - $237 127%
Wc New York Special Funds $149 - $237 127%
Wc North American Rishces $149 - $237 127%
Wc Northeast Health $149 - $237 127%
Wc Notre Dame $149 - $237 127%
Wc Novanet $149 - $237 127%
Wc O'Hara Corp $149 - $237 127%
Wc Occ Health Allen $149 - $237 127%
Wc Ohio Bureau $149 - $237 127%
Wc One Call Medical $149 - $237 127%
Wc Paradigm $149 - $237 127%
Wc Peerless $149 - $237 127%
Wc Pma $149 - $237 127%
Wc Praxis Health Network $149 - $237 127%
Wc Price Chopper $149 - $237 127%
Wc Procura Management $149 - $237 127%
Wc Qualcare $149 - $237 127%
Wc Quiktrip $149 - $237 127%
Wc Reny Company $149 - $237 127%
Wc Rev Claims $149 - $237 127%
Wc Risico $149 - $237 127%
Wc Rural Mutual $149 - $237 127%
Wc Saif Oregon $149 - $237 127%
Wc Secura $149 - $237 127%
Wc Sedgwick $149 - $237 127%
Wc Sentry $149 - $237 127%
Wc Sheakley Unicomp $149 - $237 127%
Wc Smile Lodge $149 - $237 127%
Wc Society $149 - $237 127%
Wc Srs $149 - $237 127%
Wc Taconic (Mro) $149 - $237 127%
Wc Taconic Farms $149 - $237 127%
Wc Travelers $149 - $237 127%
Wc Triad Group $149 - $237 127%
Wc Tristar $149 - $237 127%
Wc Troy Ny $149 - $237 127%
Wc Tyson $149 - $237 127%
Wc Unified Health Services $149 - $237 127%
Wc United Heartland $149 - $237 127%
Wc Us Dept Of Labor $149 - $237 127%
Wc Velocity $149 - $237 127%
Wc Walmart $149 - $237 127%
Wc West Bend $149 - $237 127%
Wc West Bend Mutual/Argent $149 - $237 127%
Wc Winnebago Industries $149 - $237 127%
Wc Yankee Trails $149 - $237 127%
Wc York Risk $149 - $237 127%
Wc Zenith $149 - $237 127%
Wc Zurich $149 - $237 127%
Allegiance $153 - $212 130%
Health Plans Inc $155 - $206 132%
Ms Administrative Services $155 - $206 132%
St Lukes Health Plan $163 - $216 139%
Bcn Domestic $165 - $225 140%
Blue Benefit Administrators Of Massachusetts $165 - $225 140%
Blue Care Network $165 - $225 140%
Blue Distinction Transplant $165 - $225 140%
Blue Shield - Ca $165 - $225 140%
Blue Shield - Ny Highmark Northeastern $165 - $225 140%
Blue Shield - Ny Highmark Western $165 - $225 140%
Blue Shield - Pa (Highmark) $165 - $225 140%
Blue Shield - Wa (Regence) $165 - $225 140%
Health Choices $165 - $225 140%
Kaiser Domestic $165 - $225 140%
Pre-Employment $165 - $225 140%
Wc Domestic $165 - $225 140%
Allied National Global Care $178 - $240 151%
Asrm - Reliance Standard Life Insurance $178 - $240 151%
Christian Care Ministry $178 - $240 151%
Dean Health $178 - $240 151%
Fallon Health $178 - $240 151%
Family Life Insurance Company $178 - $240 151%
Ghc Scw $178 - $240 151%
International Benefit Administrators $178 - $240 151%
Lifetime Benefit Solutions $178 - $240 151%
Manhattan Life $178 - $240 151%
Medi Share $178 - $240 151%
Multiplan $178 - $240 151%
Pai $178 - $240 151%
Pan-American Life $178 - $240 151%
Paramount Hmo $178 - $240 151%
Phcs $178 - $240 151%
Trinity Health Share $178 - $240 151%

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