CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,200
  • Cash Discount Price: $1,572
  • vs. Medicare Baseline: 6.70x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Saint Alphonsus Medical Center - Nampa is $1,200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,572. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.70x the Medicare baseline. Located in 4300 E Flamingo Ave, Nampa, ID.
Cash / Self-Pay
$1,572

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,200

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $1,572 (877%)
Insurance Median: $1,200 (670%)
Cash: $1,572 (877% of Medicare)
Ins. Median: $1,200 (670% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 670% of the Medicare baseline (a markup of 570%). 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 $136 76%
Centurion Of Idaho $136 76%
Id County Ada $136 76%
Id County Canyon $136 76%
Id County Cat Fund $136 76%
Id County Payette $136 76%
Idaho Dept Health And Wellfare $136 76%
Medicaid / KanCare $136 - $1,076 76%
Medicare (plans) $186 - $195 104%
UnitedHealthcare $186 - $2,176 104%
Moda Health $189 - $2,055 105%
Aetna $191 - $2,121 107%
American Health Advantage Of Idaho $193 108%
Blue Cross Blue Shield $208 - $1,200 116%
Prime Healthcare $340 190%
Blue Shield - Id (Regence) $369 - $490 206%
Pacificsource Health Plans $404 - $1,765 225%
Molina Marketplace $447 249%
Asuris Northwest Health $490 273%
Blue Shield - Wa (Regence) $490 - $1,200 273%
Healthcare Management Admin $490 273%
Webtpa $500 - $2,176 279%
Selecthealth $745 - $2,176 416%
Trillium Community Ohp $1,076 600%
Bcn Domestic $1,200 670%
Blue Benefit Administrators Of Massachusetts $1,200 670%
Blue Care Network $1,200 670%
Blue Distinction Transplant $1,200 670%
Blue Shield - Ca $1,200 670%
Blue Shield - Ny Highmark Northeastern $1,200 670%
Blue Shield - Ny Highmark Western $1,200 670%
Blue Shield - Pa (Highmark) $1,200 670%
Health Choices $1,200 670%
Kaiser Domestic $1,200 670%
Pre-Employment $1,200 670%
Wc Domestic $1,200 670%
Mountain Health Co-Op $1,451 810%
Columbia Health Network $1,765 985%
Allegiance $1,789 998%
First Health $2,055 1147%
Medi Share $2,055 1147%
Allied Benefit Systems $2,121 1184%
Ameriben $2,121 1184%
Asr Health Benefits $2,121 1184%
Boon Chapman $2,121 1184%
Christian Brother Services $2,121 1184%
Geha $2,121 - $2,176 1184%
Healthez $2,121 1184%
Luminare Health (Detroit) $2,121 1184%
Meritain $2,121 1184%
Rural Carrier Health Benefit Plan $2,121 1184%
Humana $2,128 1188%
Allied National Global Care $2,176 1214%
Asrm - Reliance Standard Life Insurance $2,176 1214%
Christian Care Ministry $2,176 1214%
Correctional Health Partners $2,176 1214%
Dean Health $2,176 1214%
Fallon Health $2,176 1214%
Family Life Insurance Company $2,176 1214%
First Choice Health $2,176 1214%
Ghc Scw $2,176 1214%
International Benefit Administrators $2,176 1214%
Lifetime Benefit Solutions $2,176 1214%
Manhattan Life $2,176 1214%
Pai $2,176 1214%
Pan-American Life $2,176 1214%
Paramount Hmo $2,176 1214%
Phcs $2,176 1214%
Providence $2,176 - $5,000 1214%
Trinity Health Share $2,176 1214%
Cigna $5,000 2790%
Priority Health $5,000 2790%

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