CMS Price Transparency Data

Blood test, potassium

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $21
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 4.41x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Saint Alphonsus Medical Center - Nampa is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 4.41x the Medicare baseline. Located in 4300 E Flamingo Ave, Nampa, ID.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.76 (100%)
Cash / Self-Pay: $38 (798%)
Insurance Median: $21 (441%)
Cash: $38 (798% of Medicare)
Ins. Median: $21 (441% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.76 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 441% of the Medicare baseline (a markup of 341%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Ada County Jail Inmate Ins $4 84%
Centurion Of Idaho $4 84%
Id County Ada $4 84%
Id County Canyon $4 84%
Id County Cat Fund $4 84%
Id County Payette $4 84%
Idaho Dept Health And Wellfare $4 84%
Medicaid / KanCare $4 - $26 84%
Aetna $5 - $52 105%
American Health Advantage Of Idaho $5 105%
Blue Cross Blue Shield $5 - $21 105%
Blue Shield - Id (Regence) $5 - $7 105%
Medicare (plans) $5 105%
Moda Health $5 - $50 105%
UnitedHealthcare $5 - $53 105%
Asuris Northwest Health $7 147%
Blue Shield - Wa (Regence) $7 - $21 147%
Healthcare Management Admin $7 147%
Prime Healthcare $9 189%
Molina Marketplace $11 231%
Webtpa $13 - $53 273%
Selecthealth $15 - $53 315%
Trillium Community Ohp $17 - $26 357%
Cigna $19 399%
Priority Health $19 399%
Providence $19 - $53 399%
Bcn Domestic $21 441%
Blue Benefit Administrators Of Massachusetts $21 441%
Blue Care Network $21 441%
Blue Distinction Transplant $21 441%
Blue Shield - Ca $21 441%
Blue Shield - Ny Highmark Northeastern $21 441%
Blue Shield - Ny Highmark Western $21 441%
Blue Shield - Pa (Highmark) $21 441%
Health Choices $21 441%
Kaiser Domestic $21 441%
Pre-Employment $21 441%
Wc Domestic $21 441%
Mountain Health Co-Op $23 - $35 483%
Pacificsource Health Plans $23 - $43 483%
Columbia Health Network $28 - $43 588%
Allegiance $29 - $44 609%
First Health $33 - $50 693%
Medi Share $33 - $50 693%
Allied Benefit Systems $34 - $52 714%
Ameriben $34 - $52 714%
Asr Health Benefits $34 - $52 714%
Boon Chapman $34 - $52 714%
Christian Brother Services $34 - $52 714%
Geha $34 - $53 714%
Healthez $34 - $52 714%
Humana $34 - $52 714%
Luminare Health (Detroit) $34 - $52 714%
Meritain $34 - $52 714%
Rural Carrier Health Benefit Plan $34 - $52 714%
Allied National Global Care $35 - $53 735%
Asrm - Reliance Standard Life Insurance $35 - $53 735%
Christian Care Ministry $35 - $53 735%
Correctional Health Partners $35 - $53 735%
Dean Health $35 - $53 735%
Fallon Health $35 - $53 735%
Family Life Insurance Company $35 - $53 735%
First Choice Health $35 - $53 735%
Ghc Scw $35 - $53 735%
International Benefit Administrators $35 - $53 735%
Lifetime Benefit Solutions $35 - $53 735%
Manhattan Life $35 - $53 735%
Pai $35 - $53 735%
Pan-American Life $35 - $53 735%
Paramount Hmo $35 - $53 735%
Phcs $35 - $53 735%
Trinity Health Share $35 - $53 735%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4300 E Flamingo Ave, Nampa, ID 83687
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals