CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$112
about 0.8× the $136 Medicare rate · typically $73–$178
modeled estimate · not a bill or quote
What this hospital charges insurers
$81
Below the fair price — a good deal
about $31 under the fair price · 0.6× Medicare
Medicare pays $136 Fair price $112 This hospital $81 Hospital's list price $101

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

One of the lower prices — 3 of 8 other ID hospitals charge more for the same procedure.

Cheapest $79 Priciest $113

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 (30-39 min) is about $112 (about 0.8× the $136 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $81 — 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 $79 - $152 58%
Blue Cross Blue Shieldmajor $79 - $197 58%
Aetnamajor $79 - $175 58%
Cignamajor $79 - $169 58%
Humanamajor $79 - $97 58%
Kaiser Permanentemajor $197 145%
Ambetter (Centene) $79 58%
Clover Health $79 58%
Dean Health Plan $185 136%
GEHA $147 - $152 108%
Health Net $79 - $175 58%
HealthPartners $79 58%
Meridian $79 58%
Moda Health $174 - $194 128%
Molina $79 - $158 58%
PacificSource $122 - $165 90%
Paramount $79 - $185 58%
Presbyterian $79 58%
SelectHealth $174 - $211 128%
Tufts Health Plan $79 58%
WellMed $79 58%
WellSense $79 58%
+ 363 smaller / regional plans $79 - $197
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.

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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