CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$73
about 0.6× the $118 Medicare rate · typically $56–$116
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
Above the fair price
about $19 over the fair price · 0.8× Medicare
Medicare pays $118 Fair price $73 This hospital $92 Hospital's list price $163

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 3 charge more and 5 charge less, among the 9 ID hospitals compared.

Cheapest $29 Priciest $107

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

A fair price for a New patient office visit (30-44 min) is about $73 (about 0.6× the $118 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $92 — 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 $73. 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 $66 - $206 56%
Blue Cross Blue Shieldmajor $66 - $225 56%
Aetnamajor $66 - $237 56%
Cignamajor $66 - $188 56%
Humanamajor $66 - $155 56%
Kaiser Permanentemajor $165 - $225 140%
Ambetter (Centene) $68 - $83 58%
Clover Health $66 - $92 56%
Dean Health Plan $178 - $240 151%
GEHA $124 - $206 105%
Health Net $68 - $237 58%
HealthPartners $68 - $83 58%
Meridian $66 - $92 56%
Moda Health $146 - $216 124%
Molina $68 - $182 58%
PacificSource $118 - $182 100%
Paramount $68 - $240 58%
Presbyterian $66 - $92 56%
SelectHealth $146 - $240 124%
Tufts Health Plan $68 - $83 58%
WellMed $66 - $92 56%
WellSense $68 - $83 58%
+ 363 smaller / regional plans $66 - $240
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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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