CMS Price Transparency Data

Blood test, vitamin B12

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $71
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 4.71x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Saint Alphonsus Medical Center - Nampa is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.71x the Medicare baseline. Located in 4300 E Flamingo Ave, Nampa, ID.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$15.08

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.08 (100%)
Cash / Self-Pay: $58 (385%)
Insurance Median: $71 (471%)
Cash: $58 (385% of Medicare)
Ins. Median: $71 (471% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.08 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 471% of the Medicare baseline (a markup of 371%). 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 $13 86%
Centurion Of Idaho $13 86%
Id County Ada $13 86%
Id County Canyon $13 86%
Id County Cat Fund $13 86%
Id County Payette $13 86%
Idaho Dept Health And Wellfare $13 86%
Medicaid / KanCare $13 - $44 86%
Aetna $15 - $87 99%
American Health Advantage Of Idaho $15 99%
Medicare (plans) $15 - $16 99%
Moda Health $15 - $84 99%
UnitedHealthcare $15 - $89 99%
Blue Cross Blue Shield $17 - $71 113%
Blue Shield - Id (Regence) $17 - $23 113%
Asuris Northwest Health $23 153%
Blue Shield - Wa (Regence) $23 - $71 153%
Healthcare Management Admin $23 153%
Prime Healthcare $27 179%
Trillium Community Ohp $35 - $44 232%
Molina Marketplace $36 239%
Selecthealth $37 - $89 245%
Webtpa $40 - $89 265%
Mountain Health Co-Op $47 - $59 312%
Pacificsource Health Plans $47 - $72 312%
Allegiance $58 - $73 385%
Columbia Health Network $58 - $72 385%
Cigna $59 391%
Priority Health $59 391%
Providence $59 - $89 391%
First Health $67 - $84 444%
Medi Share $67 - $84 444%
Allied Benefit Systems $69 - $87 458%
Ameriben $69 - $87 458%
Asr Health Benefits $69 - $87 458%
Boon Chapman $69 - $87 458%
Christian Brother Services $69 - $87 458%
Geha $69 - $89 458%
Healthez $69 - $87 458%
Luminare Health (Detroit) $69 - $87 458%
Meritain $69 - $87 458%
Rural Carrier Health Benefit Plan $69 - $87 458%
Humana $70 - $87 464%
Allied National Global Care $71 - $89 471%
Asrm - Reliance Standard Life Insurance $71 - $89 471%
Bcn Domestic $71 471%
Blue Benefit Administrators Of Massachusetts $71 471%
Blue Care Network $71 471%
Blue Distinction Transplant $71 471%
Blue Shield - Ca $71 471%
Blue Shield - Ny Highmark Northeastern $71 471%
Blue Shield - Ny Highmark Western $71 471%
Blue Shield - Pa (Highmark) $71 471%
Christian Care Ministry $71 - $89 471%
Correctional Health Partners $71 - $89 471%
Dean Health $71 - $89 471%
Fallon Health $71 - $89 471%
Family Life Insurance Company $71 - $89 471%
First Choice Health $71 - $89 471%
Ghc Scw $71 - $89 471%
Health Choices $71 471%
International Benefit Administrators $71 - $89 471%
Kaiser Domestic $71 471%
Lifetime Benefit Solutions $71 - $89 471%
Manhattan Life $71 - $89 471%
Pai $71 - $89 471%
Pan-American Life $71 - $89 471%
Paramount Hmo $71 - $89 471%
Phcs $71 - $89 471%
Pre-Employment $71 471%
Trinity Health Share $71 - $89 471%
Wc Domestic $71 471%

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