CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59400
  • Insurance Median: $970
  • Cash Discount Price: $5,094
  • vs. Medicare Baseline: 0.44x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Saint Alphonsus Regional Medical Center is $970. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,094. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.44x the Medicare baseline. Located in 1055 North Curtis Road, Boise, ID.
Cash / Self-Pay
$5,094

Average discount available for prompt cash payment at this facility.

Insurance Median
$970

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2,214.42

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,214.42 (100%)
Cash / Self-Pay: $5,094 (230%)
Insurance Median: $970 (44%)
Cash: $5,094 (230% of Medicare)
Ins. Median: $970 (44% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,214.42 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
Aetna $772 - $2,907 35%
Albany County Correctional Facility $772 - $909 35%
Ambetter / Centene $772 - $909 35%
Amish Mennonite $772 - $909 35%
Ascension St. Vincent Public Safety Medical $772 - $909 35%
Bcccp-Michigan $772 - $909 35%
Bccp $772 - $909 35%
Blue Cross Blue Shield $772 - $2,336 35%
Bmc Healthnet $772 - $909 35%
Breast Grant-Connecticut $772 - $909 35%
Broward County Dept Of Health $772 - $909 35%
California Health And Wellness $772 - $909 35%
Can Community Health Inc $772 - $909 35%
Cardinal Innovations Lme $772 - $909 35%
Care Connections Of Northern Iowa $772 - $909 35%
Care Oregon Ohp $772 - $909 35%
Cencal Health Plan $772 - $909 35%
Cenpatico $772 - $909 35%
Centurion Of Idaho $772 - $909 35%
Chhuny $772 - $909 35%
Childrens Comm Health Plan $772 - $909 35%
Childrens Medical Services Title 19 $772 - $909 35%
Cigna $772 - $1,942 35%
City Of Philadelphia $772 - $909 35%
Cmh Allegan County $772 - $909 35%
Cmh Ausable Valley $772 - $909 35%
Cmh Barry County $772 - $909 35%
Cmh Bay-Arenac County $772 - $909 35%
Cmh Berrien County $772 - $909 35%
Cmh Cass County $772 - $909 35%
Cmh Central Mi County $772 - $909 35%
Cmh Clinton-Eaton-Ingham County $772 - $909 35%
Cmh Detroit Wayne Integrated Health Network $772 - $909 35%
Cmh Genesee County $772 - $909 35%
Cmh Ionia County $772 - $909 35%
Cmh Jackson County/Lifeways $772 - $909 35%
Cmh Kalamazoo $772 - $909 35%
Cmh Kent County $772 - $909 35%
Cmh Lenawee County $772 - $909 35%
Cmh Livingston County $772 - $909 35%
Cmh Macomb $772 - $909 35%
Cmh Misc $772 - $909 35%
Cmh Monroe County $772 - $909 35%
Cmh Montcalm County $772 - $909 35%
Cmh Muskegon County $772 - $909 35%
Cmh Newaygo County $772 - $909 35%
Cmh North Country $772 - $909 35%
Cmh Northern Lakes County $772 - $909 35%
Cmh Oakland County $772 - $909 35%
Cmh Ottawa County $772 - $909 35%
Cmh Van Buren County $772 - $909 35%
Cmh Washtenaw County $772 - $909 35%
Cmh Wayne County/Carelink $772 - $909 35%
Cmh Wayne Cty/Com Liv Svcs $772 - $909 35%
Cmh West Mi County $772 - $909 35%
Community Benefit Health $772 - $909 35%
Community Care Behavorial Health $772 - $909 35%
Community Care Partners $772 - $909 35%
Community Health Choice $772 - $909 35%
Connections Csp $772 - $909 35%
County Coroner $772 - $909 35%
County Funding Generic $772 - $909 35%
Covid19 Hrsa Uninsured Testing And Treatment Fund $772 - $909 35%
Dean Wi Badgercare $772 - $909 35%
Delaware County Department Of Health $772 - $909 35%
Delaware First Health $772 - $909 35%
Delta Dental Nj $772 - $909 35%
Dph Tb Program $772 - $909 35%
Dscc $772 - $909 35%
Eastpointe Lme $772 - $909 35%
Family Health Network $772 - $909 35%
Freedom First Healthcare $772 - $909 35%
Fresno County Ccs $772 - $909 35%
Ghc Scw Wi Badgercare $772 - $909 35%
Harbor Health $772 - $909 35%
Health Safety Net $772 - $909 35%
Healthy Blue Ne $772 - $909 35%
Hennepin Health $772 - $909 35%
Humana $772 - $2,258 35%
Id County Ada $772 - $909 35%
Id County Canyon $772 - $909 35%
Id County Cat Fund $772 - $909 35%
Id County Other $772 - $909 35%
Id County Payette $772 - $909 35%
Idaho Dept Health And Wellfare $772 - $909 35%
Idaho Womens Health Check $772 - $909 35%
Indiana Breast Cervical Cancer $772 - $909 35%
Inland Empire Health Plan $772 - $909 35%
Intercommunity Health Ohp $772 - $909 35%
Iowa Total Care $772 - $909 35%
Jai Medical System $772 - $909 35%
Kern Family Health Plan $772 - $909 35%
Keystone First $772 - $909 35%
Keystone First Chip $772 - $909 35%
La Care Health Plan $772 - $909 35%
Lakeland Care Inc $772 - $909 35%
Managed Health Services - Indiana $772 - $909 35%
Maryland Breast & Cervical Program $772 - $909 35%
Maryland Healthy Smiles - Scion Dental $772 - $909 35%
Maryland Physicians Care $772 - $909 35%
Massachusetts Behavioral Health Partnership $772 - $909 35%
Mdwise $772 - $909 35%
Medi-Cal $772 - $909 35%
Medi-Cal Healthnet $772 - $909 35%
Medicaid / KanCare $772 - $2,638 35%
Medstar Dc Healthy Family $772 - $909 35%
Medstar Md Health Choice $772 - $909 35%
Mo Home State Health Plan $772 - $909 35%
Molina Centennial Care $772 - $909 35%
Nascentia Health Options $772 - $909 35%
Nebraska Total Care $772 - $909 35%
New York Cancer Services Program $772 - $909 35%
Nextlevel Health $772 - $909 35%
Pace Of Southwest Michigan $772 - $970 35%
Paramount Advantage $772 - $909 35%
Parkland Community Health Plan $772 - $909 35%
Partners Behavioral Lme $772 - $909 35%
Peach State Healthplan $772 - $909 35%
Philadelphia County Funding $772 - $909 35%
Presbyterian Centennial Care $772 - $909 35%
Prestige Health Choice $772 - $909 35%
Priority Partners $772 - $909 35%
Robert F Sing Program $772 - $909 35%
Rx 340B Pass Along $772 - $909 35%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $772 - $909 35%
Rx Medi-Cal $772 - $909 35%
Rx Meridian Rx $772 - $909 35%
Ryan White Florida Mssrp $772 - $909 35%
Sandhills Center Lme $772 - $909 35%
Screening For Life $772 - $909 35%
St Joseph County Hlth Dpt $772 - $909 35%
Stephenson Cty Health $772 - $909 35%
Sunshine State Health Plan $772 - $909 35%
Superior Health $772 - $909 35%
Tenncare $772 - $909 35%
Texas Children'S Health Plan $772 - $909 35%
Trillium Community Ohp $772 - $909 35%
Tufts Health Public Plans $772 - $909 35%
UnitedHealthcare $772 - $2,092 35%
Vaya Health Lme $772 - $909 35%
Washtenaw Health Plan $772 - $909 35%
Wellsense Health Plan $772 - $909 35%
Wi Womens Wellness $772 - $909 35%
American Health Advantage Of Idaho $871 - $1,019 39%
Medicare (plans) $941 - $1,139 42%
Align Senior Care $970 44%
Ally Align Care Adv $970 44%
American Health Plan $970 44%
Aurora Special Needs $970 44%
Blue Care Network Advantage $970 44%
Blue Shield - De (Highmark) Medciare Advantage $970 44%
Care Dimensions $970 44%
Care Improvement Plus $970 44%
Care Resources Pace $970 44%
Careplus Health Plans $970 44%
Cca - Zing Health $970 44%
Cca Senior Care Options $970 44%
Central Valley Medical Services Corp Pace $970 44%
Champion Health Plan Mcr Advantage $970 44%
Clear Spring Health $970 44%
Clover Health $970 44%
Commonwealth Care Alliance $970 44%
Community Pace At Home $970 44%
Eddy Senior Care-Pace $970 44%
Eddy Seniorcare Pace $970 44%
Elementcare $970 44%
Evercare $970 44%
Everence $970 44%
Gateway Health Plan $970 44%
Genesys Pace Of Genesee County $970 44%
Georgia Health Advantage $970 44%
Gold Advantage $970 44%
Gpa Croell Redi Mix $970 44%
Health America Advantra $970 44%
Highmark Health Options Dual Plan $970 44%
Hope Select Pace $970 44%
Horizon Nj Total Care $970 44%
Hudson Headwaters Pace $970 44%
Huron Valley Pace $970 44%
Innovative Integrated Health Community Plans $970 44%
Iowa Health Advantage $970 44%
Johns Hopkins Advantage Md $970 44%
Lasso Healthcare Msa $970 44%
Life St Marys Pace $970 44%
Lifecircles Pace $970 44%
Longevity Health Plan $970 44%
Longevity Ipa Of Michigan Llc Health Plan Isnp $970 44%
Martins Point Generations Advantage $970 44%
Mass General Brigham Mcr Adv $970 44%
Medipak Advantage $970 44%
Mercy Life $970 44%
Mercyone Cedar Valley $970 44%
Meridian Complete $970 44%
Michigan Complete Health $970 44%
Nascentia Health Plus $970 44%
New Centry Health Careplus $970 44%
Osu Prime Care Advantage $970 44%
Pace Cny $970 44%
Pace Iowa Immanuel Pathways $970 44%
Pace Southeast $970 44%
Pace-Trinity Health $970 44%
Peak Pace Solutions $970 44%
Perennial Advantage $970 44%
Preferred Care Partners $970 44%
Presbyterian Senior Plan $970 44%
Provider Partners Health Plan Of Illinois $970 44%
Provider Partners Health Plan Of Indiana $970 44%
Pruitthealth Premier $970 44%
Reliance Community Care Partners Care Resources Pace $970 44%
Rx Allwin $970 44%
Rx Grane Grnmedd $970 44%
Rx Retiree Rx Care $970 44%
Scan Health Plan Mcr Ipa Meritage Oon $970 44%
Secure Horizons Ma Pffs $970 44%
Serenity Pace $970 44%
Siouxland Pace $970 44%
Solis Health Plans $970 44%
Sunnyview-Pace Finance Dept $970 44%
Texan Plus $970 44%
The Health Plan $970 44%
Thome Pace $970 44%
Todays Options $970 44%
Tribute Health Plans $970 44%
Um Health Advantage $970 44%
Union Health Service $970 44%
Welbe Health $970 44%
Wellmed $970 44%
Veterans Administration $989 45%
Champva $1,052 48%
Tricare $1,052 48%
Triwest Health Alliance $1,052 48%
Us Family Health Plan $1,052 48%
Veterans Eval Services $1,052 48%
Oregon Screenwise $1,396 63%
Asuris Northwest Health $1,502 68%
Blue Shield - Id (Regence) $1,502 - $2,073 68%
Healthcare Management Admin $1,502 68%
Webtpa $1,514 - $1,781 68%
Pacificsource Health Plans $1,624 - $1,762 73%
First Choice Health $1,754 79%
Providence $1,754 - $1,942 79%
Molina Marketplace $1,929 87%
Health Plans Inc $1,948 88%
Ms Administrative Services $1,948 88%
Allegiance $2,043 92%
Moda Health $2,073 - $4,749 94%
Mountain Health Co-Op $2,073 94%
Selecthealth $2,073 - $2,829 94%
Healthnet $2,087 - $2,243 94%
Geha $2,092 94%
Bcn Domestic $2,336 105%
Blue Benefit Administrators Of Massachusetts $2,336 105%
Blue Care Network $2,336 105%
Blue Distinction Transplant $2,336 105%
Blue Shield - Ca $2,336 105%
Blue Shield - Ny Highmark Northeastern $2,336 105%
Blue Shield - Ny Highmark Western $2,336 105%
Blue Shield - Pa (Highmark) $2,336 105%
Blue Shield - Wa (Regence) $2,336 105%
Health Choices $2,336 105%
Kaiser Domestic $2,336 105%
Pre-Employment $2,336 105%
Wc Domestic $2,336 105%
Allied National Global Care $2,431 110%
Asrm - Reliance Standard Life Insurance $2,431 110%
Christian Care Ministry $2,431 110%
Dean Health $2,431 110%
Fallon Health $2,431 110%
Family Life Insurance Company $2,431 110%
Ghc Scw $2,431 110%
International Benefit Administrators $2,431 110%
Lifetime Benefit Solutions $2,431 110%
Manhattan Life $2,431 110%
Medi Share $2,431 110%
Multiplan $2,431 110%
Pai $2,431 110%
Pan-American Life $2,431 110%
Paramount Hmo $2,431 110%
Phcs $2,431 110%
Trinity Health Share $2,431 110%
Andrie Inc $2,907 131%
East Greenbush Central School District $2,907 131%
Genex Wc $2,907 131%
Healthsmart Workers Comp $2,907 131%
Jag Source $2,907 131%
New York State Insurance Fund $2,907 131%
Njm Insurance Group $2,907 131%
Rx Heatlhcomp $2,907 131%
Rx Restat $2,907 131%
Rx Saif Opdp Wc $2,907 131%
Rx Worker'S Comp $2,907 131%
Wc Accident Fund $2,907 131%
Wc Ace $2,907 131%
Wc Acs Federal Employees $2,907 131%
Wc Acuity $2,907 131%
Wc Advantage $2,907 131%
Wc Aegis $2,907 131%
Wc Aig $2,907 131%
Wc Aims $2,907 131%
Wc Alaska National Ins $2,907 131%
Wc Align Network $2,907 131%
Wc Allied $2,907 131%
Wc Am Trust N America $2,907 131%
Wc American Claims Mgmt $2,907 131%
Wc Amerisure $2,907 131%
Wc Amtrust $2,907 131%
Wc Asu Risk Mgt $2,907 131%
Wc Benetech $2,907 131%
Wc Berkley Admin $2,907 131%
Wc Broadspire $2,907 131%
Wc Broward County $2,907 131%
Wc Bunch & Associates $2,907 131%
Wc California State Comp Ins $2,907 131%
Wc California State Ins Fund $2,907 131%
Wc Capitol Area Health Consortium $2,907 131%
Wc Ccmsi $2,907 131%
Wc Chartis $2,907 131%
Wc Chubb $2,907 131%
Wc Cirma $2,907 131%
Wc City Of Albany $2,907 131%
Wc City Of Sioux City $2,907 131%
Wc Claims Mgmt Inc $2,907 131%
Wc Cna $2,907 131%
Wc Comp One Admin C/O Manageability $2,907 131%
Wc Compone Admin $2,907 131%
Wc Corvel $2,907 131%
Wc Ct Healthcare Trust $2,907 131%
Wc Donegal Insurance Group $2,907 131%
Wc Emc Insurance Company $2,907 131%
Wc Employee Mutual $2,907 131%
Wc Enablecomp $2,907 131%
Wc Encore Health Network $2,907 131%
Wc Erie $2,907 131%
Wc Esis $2,907 131%
Wc Evolutions $2,907 131%
Wc Fcci $2,907 131%
Wc Fed Ex $2,907 131%
Wc Federal Black Lung $2,907 131%
Wc Federated $2,907 131%
Wc Finley Occupational Health $2,907 131%
Wc First Agency/Occunet $2,907 131%
Wc Ford Motor $2,907 131%
Wc Fresno Unified Emp $2,907 131%
Wc Gallagher Bassett $2,907 131%
Wc General Motors $2,907 131%
Wc Generic $2,907 131%
Wc Genex Care For Ohio $2,907 131%
Wc Great West Casualty $2,907 131%
Wc Guarantee Insurance $2,907 131%
Wc Guard Insurance Company $2,907 131%
Wc Hab $2,907 131%
Wc Hartford $2,907 131%
Wc Hastings $2,907 131%
Wc Health Management $2,907 131%
Wc Heritage Summit $2,907 131%
Wc Hireright $2,907 131%
Wc Horizon $2,907 131%
Wc Icw Group $2,907 131%
Wc Idaho State Ins Fund $2,907 131%
Wc Intercare Insurance $2,907 131%
Wc Intermountain $2,907 131%
Wc Johns Eastern $2,907 131%
Wc Kemberton $2,907 131%
Wc Key Ins & Benefit Solutions $2,907 131%
Wc Liberty Mutual $2,907 131%
Wc Mac Risk Management $2,907 131%
Wc Massachusetts $2,907 131%
Wc Mdia $2,907 131%
Wc Meadowbrook Claim $2,907 131%
Wc Medical Administrators $2,907 131%
Wc Meijers $2,907 131%
Wc Memic $2,907 131%
Wc Mercy Workcare $2,907 131%
Wc Michigan $2,907 131%
Wc Michigan Millers Mutual $2,907 131%
Wc Mitchell Frankenmuth $2,907 131%
Wc Mra $2,907 131%
Wc Nationwide $2,907 131%
Wc Nca Comp $2,907 131%
Wc New York $2,907 131%
Wc New York Special Funds $2,907 131%
Wc North American Rishces $2,907 131%
Wc Northeast Health $2,907 131%
Wc Notre Dame $2,907 131%
Wc Novanet $2,907 131%
Wc O'Hara Corp $2,907 131%
Wc Occ Health Allen $2,907 131%
Wc Ohio Bureau $2,907 131%
Wc One Call Medical $2,907 131%
Wc Paradigm $2,907 131%
Wc Peerless $2,907 131%
Wc Pma $2,907 131%
Wc Praxis Health Network $2,907 131%
Wc Price Chopper $2,907 131%
Wc Procura Management $2,907 131%
Wc Qualcare $2,907 131%
Wc Quiktrip $2,907 131%
Wc Reny Company $2,907 131%
Wc Rev Claims $2,907 131%
Wc Risico $2,907 131%
Wc Rural Mutual $2,907 131%
Wc Saif Oregon $2,907 131%
Wc Secura $2,907 131%
Wc Sedgwick $2,907 131%
Wc Sentry $2,907 131%
Wc Sheakley Unicomp $2,907 131%
Wc Smile Lodge $2,907 131%
Wc Society $2,907 131%
Wc Srs $2,907 131%
Wc Taconic (Mro) $2,907 131%
Wc Taconic Farms $2,907 131%
Wc Travelers $2,907 131%
Wc Triad Group $2,907 131%
Wc Tristar $2,907 131%
Wc Troy Ny $2,907 131%
Wc Tyson $2,907 131%
Wc Unified Health Services $2,907 131%
Wc United Heartland $2,907 131%
Wc Us Dept Of Labor $2,907 131%
Wc Velocity $2,907 131%
Wc Walmart $2,907 131%
Wc West Bend $2,907 131%
Wc West Bend Mutual/Argent $2,907 131%
Wc Winnebago Industries $2,907 131%
Wc Yankee Trails $2,907 131%
Wc York Risk $2,907 131%
Wc Zenith $2,907 131%
Wc Zurich $2,907 131%

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