Office visit, established patient (20-29 min)
Facility: Saint Alphonsus Regional Medical Center
Billing Code: 99213 (CPT)
On the higher side — 6 of 8 other ID hospitals charge less.
Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (20-29 min) is about $69 (about 0.7× the $95 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $75 — about the fair price. 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
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 | $46 - $143 | 48% |
| Blue Cross Blue Shieldmajor | $46 - $185 | 48% |
| Aetnamajor | $46 - $191 | 48% |
| Cignamajor | $46 - $153 | 48% |
| Humanamajor | $46 - $104 | 48% |
| Kaiser Permanentemajor | $134 - $185 | 141% |
| Ambetter (Centene) | $48 - $68 | 50% |
| Clover Health | $46 - $75 | 48% |
| Dean Health Plan | $120 - $172 | 126% |
| GEHA | $99 - $143 | 104% |
| Health Net | $48 - $191 | 50% |
| HealthPartners | $48 - $68 | 50% |
| Meridian | $46 - $75 | 48% |
| Moda Health | $118 - $188 | 124% |
| Molina | $48 - $149 | 50% |
| PacificSource | $79 - $149 | 83% |
| Paramount | $48 - $172 | 50% |
| Presbyterian | $46 - $75 | 48% |
| SelectHealth | $118 - $198 | 124% |
| Tufts Health Plan | $48 - $68 | 50% |
| WellMed | $46 - $75 | 48% |
| WellSense | $48 - $68 | 50% |
| + 363 smaller / regional plans | $46 - $191 |
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.
Other Procedures at Saint Alphonsus Regional Medical Center
Compare: Office visit, established patient (20-29 min) at other ID hospitals
- Madison Memorial Hospital · Rexburg $55
- Mountain View Hospital · Idaho Falls $55
- Northwest Specialty Hospital · Post Falls $55
- West Valley Medical Center · Caldwell $56
- Eastern Idaho Regional Medical Center · Idaho Falls $56
- Grove Creek Medical Center · Blackfoot $72
- Kootenai Health · Coeur D'Alene $80
- Benewah Community Hospital · Saint Maries $80
Insurance negotiated median for the same procedure, sorted lowest first.