CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,312
  • Cash Discount Price: $2,813
  • vs. Medicare Baseline: 3.68x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Saint Alphonsus Medical Center - Nampa is $1,312. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,813. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.68x the Medicare baseline. Located in 4300 E Flamingo Ave, Nampa, ID.
Cash / Self-Pay
$2,813

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,312

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $2,813 (789%)
Insurance Median: $1,312 (368%)
Cash: $2,813 (789% of Medicare)
Ins. Median: $1,312 (368% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 368% of the Medicare baseline (a markup of 268%). 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 $236 66%
Centurion Of Idaho $236 66%
Id County Ada $236 66%
Id County Canyon $236 66%
Id County Cat Fund $236 66%
Id County Payette $236 66%
Idaho Dept Health And Wellfare $236 66%
Medicaid / KanCare $236 - $1,926 66%
Medicare (plans) $369 - $388 104%
UnitedHealthcare $369 - $3,895 104%
Moda Health $377 - $3,679 106%
Aetna $380 - $3,796 107%
American Health Advantage Of Idaho $384 108%
Blue Cross Blue Shield $414 - $1,312 116%
Pacificsource Health Plans $636 - $3,159 178%
Prime Healthcare $677 190%
Blue Shield - Id (Regence) $762 - $1,026 214%
Selecthealth $767 - $3,895 215%
Molina Marketplace $889 249%
Webtpa $994 - $3,895 279%
Asuris Northwest Health $1,026 288%
Blue Shield - Wa (Regence) $1,026 - $1,312 288%
Healthcare Management Admin $1,026 288%
Bcn Domestic $1,312 368%
Blue Benefit Administrators Of Massachusetts $1,312 368%
Blue Care Network $1,312 368%
Blue Distinction Transplant $1,312 368%
Blue Shield - Ca $1,312 368%
Blue Shield - Ny Highmark Northeastern $1,312 368%
Blue Shield - Ny Highmark Western $1,312 368%
Blue Shield - Pa (Highmark) $1,312 368%
Health Choices $1,312 368%
Kaiser Domestic $1,312 368%
Pre-Employment $1,312 368%
Wc Domestic $1,312 368%
Trillium Community Ohp $1,926 540%
Mountain Health Co-Op $2,597 729%
Columbia Health Network $3,159 886%
Allegiance $3,203 899%
First Health $3,679 1032%
Medi Share $3,679 1032%
Allied Benefit Systems $3,796 1065%
Ameriben $3,796 1065%
Asr Health Benefits $3,796 1065%
Boon Chapman $3,796 1065%
Christian Brother Services $3,796 1065%
Geha $3,796 - $3,895 1065%
Healthez $3,796 1065%
Luminare Health (Detroit) $3,796 1065%
Meritain $3,796 1065%
Rural Carrier Health Benefit Plan $3,796 1065%
Humana $3,809 1069%
Allied National Global Care $3,895 1093%
Asrm - Reliance Standard Life Insurance $3,895 1093%
Christian Care Ministry $3,895 1093%
Correctional Health Partners $3,895 1093%
Dean Health $3,895 1093%
Fallon Health $3,895 1093%
Family Life Insurance Company $3,895 1093%
First Choice Health $3,895 1093%
Ghc Scw $3,895 1093%
International Benefit Administrators $3,895 1093%
Lifetime Benefit Solutions $3,895 1093%
Manhattan Life $3,895 1093%
Pai $3,895 1093%
Pan-American Life $3,895 1093%
Paramount Hmo $3,895 1093%
Phcs $3,895 1093%
Providence $3,895 - $5,000 1093%
Trinity Health Share $3,895 1093%
Cigna $5,000 1403%
Priority Health $5,000 1403%

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