CMS Price Transparency Data

Inguinal hernia repair

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 49505 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 49505
  • Insurance Median: $224
  • Cash Discount Price: $1,157
  • vs. Medicare Baseline: 0.06x Medicare
The contracted insurance negotiated median rate for a Inguinal hernia repair at Saint Alphonsus Medical Center - Nampa is $224. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,157. Compared to the federal Medicare reimbursement reference rate of $3,657.95, this hospital’s rate is 0.06x the Medicare baseline. Located in 4300 E Flamingo Ave, Nampa, ID.
Cash / Self-Pay
$1,157

Average discount available for prompt cash payment at this facility.

Insurance Median
$224

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3,657.95

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,657.95 (100%)
Cash / Self-Pay: $1,157 (32%)
Insurance Median: $224 (6%)
Cash: $1,157 (32% of Medicare)
Ins. Median: $224 (6% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3,657.95 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.

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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 $54 - $6,617 1%
Align Senior Care $54 - $336 1%
Ally Align Care Adv $54 - $336 1%
American Health Plan $54 - $336 1%
Aurora Special Needs $54 - $336 1%
Blue Care Network Advantage $54 - $336 1%
Blue Cross Blue Shield $54 - $7,647 1%
Blue Shield - De (Highmark) Medciare Advantage $54 - $336 1%
Care Dimensions $54 - $336 1%
Care Improvement Plus $54 - $336 1%
Care Resources Pace $54 - $336 1%
Careplus Health Plans $54 - $336 1%
Cca - Zing Health $54 - $336 1%
Cca Senior Care Options $54 - $336 1%
Central Valley Medical Services Corp Pace $54 - $336 1%
Champion Health Plan Mcr Advantage $54 - $336 1%
Cigna $54 - $16,000 1%
Clear Spring Health $54 - $336 1%
Clover Health $54 - $336 1%
Commonwealth Care Alliance $54 - $336 1%
Community Pace At Home $54 - $336 1%
Eddy Senior Care-Pace $54 - $336 1%
Eddy Seniorcare Pace $54 - $336 1%
Elementcare $54 - $336 1%
Evercare $54 - $336 1%
Everence $54 - $336 1%
Gateway Health Plan $54 - $336 1%
Genesys Pace Of Genesee County $54 - $336 1%
Georgia Health Advantage $54 - $336 1%
Gold Advantage $54 - $336 1%
Gpa Croell Redi Mix $54 - $336 1%
Health America Advantra $54 - $336 1%
Highmark Health Options Dual Plan $54 - $336 1%
Hope Select Pace $54 - $336 1%
Horizon Nj Total Care $54 - $336 1%
Hudson Headwaters Pace $54 - $336 1%
Humana $54 - $943 1%
Huron Valley Pace $54 - $336 1%
Innovative Integrated Health Community Plans $54 - $336 1%
Iowa Health Advantage $54 - $336 1%
Johns Hopkins Advantage Md $54 - $336 1%
Lasso Healthcare Msa $54 - $336 1%
Life St Marys Pace $54 - $336 1%
Lifecircles Pace $54 - $336 1%
Longevity Health Plan $54 - $336 1%
Longevity Ipa Of Michigan Llc Health Plan Isnp $54 - $336 1%
Martins Point Generations Advantage $54 - $336 1%
Mass General Brigham Mcr Adv $54 - $336 1%
Medicare (plans) $54 - $6,752 1%
Medipak Advantage $54 - $336 1%
Mercy Life $54 - $336 1%
Mercyone Cedar Valley $54 - $336 1%
Meridian Complete $54 - $336 1%
Michigan Complete Health $54 - $336 1%
Nascentia Health Plus $54 - $336 1%
New Centry Health Careplus $54 - $336 1%
Osu Prime Care Advantage $54 - $336 1%
Pace Cny $54 - $336 1%
Pace Iowa Immanuel Pathways $54 - $336 1%
Pace Of Southwest Michigan $54 - $336 1%
Pace Southeast $54 - $336 1%
Pace-Trinity Health $54 - $336 1%
Peak Pace Solutions $54 - $336 1%
Perennial Advantage $54 - $336 1%
Preferred Care Partners $54 - $336 1%
Presbyterian Senior Plan $54 - $336 1%
Provider Partners Health Plan Of Illinois $54 - $336 1%
Provider Partners Health Plan Of Indiana $54 - $336 1%
Pruitthealth Premier $54 - $336 1%
Reliance Community Care Partners Care Resources Pace $54 - $336 1%
Rx Allwin $54 - $336 1%
Rx Grane Grnmedd $54 - $336 1%
Rx Retiree Rx Care $54 - $336 1%
Scan Health Plan Mcr Ipa Meritage Oon $54 - $336 1%
Secure Horizons Ma Pffs $54 - $336 1%
Serenity Pace $54 - $336 1%
Siouxland Pace $54 - $336 1%
Solis Health Plans $54 - $336 1%
Sunnyview-Pace Finance Dept $54 - $336 1%
Texan Plus $54 - $336 1%
The Health Plan $54 - $336 1%
Thome Pace $54 - $336 1%
Todays Options $54 - $336 1%
Tribute Health Plans $54 - $336 1%
Um Health Advantage $54 - $336 1%
Union Health Service $54 - $336 1%
UnitedHealthcare $54 - $6,424 1%
Welbe Health $54 - $336 1%
Wellmed $54 - $336 1%
Veterans Administration $55 - $343 2%
Asuris Northwest Health $56 - $3,249 2%
Blue Shield - Id (Regence) $56 - $3,296 2%
Champva $56 - $347 2%
Healthcare Management Admin $56 - $3,249 2%
Medicaid / KanCare $56 - $2,059 2%
Tricare $56 - $347 2%
Triwest Health Alliance $56 - $347 2%
Us Family Health Plan $56 - $347 2%
Veterans Eval Services $56 - $347 2%
American Health Advantage Of Idaho $57 - $6,681 2%
Albany County Correctional Facility $60 - $300 2%
Ambetter / Centene $60 - $300 2%
Amish Mennonite $60 - $300 2%
Ascension St. Vincent Public Safety Medical $60 - $300 2%
Bcccp-Michigan $60 - $300 2%
Bccp $60 - $300 2%
Bmc Healthnet $60 - $300 2%
Breast Grant-Connecticut $60 - $300 2%
Broward County Dept Of Health $60 - $300 2%
California Health And Wellness $60 - $300 2%
Can Community Health Inc $60 - $300 2%
Cardinal Innovations Lme $60 - $300 2%
Care Connections Of Northern Iowa $60 - $300 2%
Care Oregon Ohp $60 - $300 2%
Cencal Health Plan $60 - $300 2%
Cenpatico $60 - $300 2%
Centurion Of Idaho $60 - $300 2%
Chhuny $60 - $300 2%
Childrens Comm Health Plan $60 - $300 2%
Childrens Medical Services Title 19 $60 - $300 2%
City Of Philadelphia $60 - $300 2%
Cmh Allegan County $60 - $300 2%
Cmh Ausable Valley $60 - $300 2%
Cmh Barry County $60 - $300 2%
Cmh Bay-Arenac County $60 - $300 2%
Cmh Berrien County $60 - $300 2%
Cmh Cass County $60 - $300 2%
Cmh Central Mi County $60 - $300 2%
Cmh Clinton-Eaton-Ingham County $60 - $300 2%
Cmh Detroit Wayne Integrated Health Network $60 - $300 2%
Cmh Genesee County $60 - $300 2%
Cmh Ionia County $60 - $300 2%
Cmh Jackson County/Lifeways $60 - $300 2%
Cmh Kalamazoo $60 - $300 2%
Cmh Kent County $60 - $300 2%
Cmh Lenawee County $60 - $300 2%
Cmh Livingston County $60 - $300 2%
Cmh Macomb $60 - $300 2%
Cmh Misc $60 - $300 2%
Cmh Monroe County $60 - $300 2%
Cmh Montcalm County $60 - $300 2%
Cmh Muskegon County $60 - $300 2%
Cmh Newaygo County $60 - $300 2%
Cmh North Country $60 - $300 2%
Cmh Northern Lakes County $60 - $300 2%
Cmh Oakland County $60 - $300 2%
Cmh Ottawa County $60 - $300 2%
Cmh Van Buren County $60 - $300 2%
Cmh Washtenaw County $60 - $300 2%
Cmh Wayne County/Carelink $60 - $300 2%
Cmh Wayne Cty/Com Liv Svcs $60 - $300 2%
Cmh West Mi County $60 - $300 2%
Community Benefit Health $60 - $300 2%
Community Care Behavorial Health $60 - $300 2%
Community Care Partners $60 - $300 2%
Community Health Choice $60 - $300 2%
Connections Csp $60 - $300 2%
County Coroner $60 - $300 2%
County Funding Generic $60 - $300 2%
Covid19 Hrsa Uninsured Testing And Treatment Fund $60 - $300 2%
Dean Wi Badgercare $60 - $300 2%
Delaware County Department Of Health $60 - $300 2%
Delaware First Health $60 - $300 2%
Delta Dental Nj $60 - $300 2%
Dph Tb Program $60 - $300 2%
Dscc $60 - $300 2%
Eastpointe Lme $60 - $300 2%
Family Health Network $60 - $300 2%
Freedom First Healthcare $60 - $300 2%
Fresno County Ccs $60 - $300 2%
Ghc Scw Wi Badgercare $60 - $300 2%
Harbor Health $60 - $300 2%
Health Safety Net $60 - $300 2%
Healthy Blue Ne $60 - $300 2%
Hennepin Health $60 - $300 2%
Id County Ada $60 - $300 2%
Id County Canyon $60 - $300 2%
Id County Cat Fund $60 - $300 2%
Id County Other $60 - $300 2%
Id County Payette $60 - $300 2%
Idaho Dept Health And Wellfare $60 - $300 2%
Idaho Womens Health Check $60 - $300 2%
Indiana Breast Cervical Cancer $60 - $300 2%
Inland Empire Health Plan $60 - $300 2%
Intercommunity Health Ohp $60 - $300 2%
Iowa Total Care $60 - $300 2%
Jai Medical System $60 - $300 2%
Kern Family Health Plan $60 - $300 2%
Keystone First $60 - $300 2%
Keystone First Chip $60 - $300 2%
La Care Health Plan $60 - $300 2%
Lakeland Care Inc $60 - $300 2%
Managed Health Services - Indiana $60 - $300 2%
Maryland Breast & Cervical Program $60 - $300 2%
Maryland Healthy Smiles - Scion Dental $60 - $300 2%
Maryland Physicians Care $60 - $300 2%
Massachusetts Behavioral Health Partnership $60 - $300 2%
Mdwise $60 - $300 2%
Medi-Cal $60 - $300 2%
Medi-Cal Healthnet $60 - $300 2%
Medstar Dc Healthy Family $60 - $300 2%
Medstar Md Health Choice $60 - $300 2%
Mo Home State Health Plan $60 - $300 2%
Molina Centennial Care $60 - $300 2%
Nascentia Health Options $60 - $300 2%
Nebraska Total Care $60 - $300 2%
New York Cancer Services Program $60 - $300 2%
Nextlevel Health $60 - $300 2%
Paramount Advantage $60 - $300 2%
Parkland Community Health Plan $60 - $300 2%
Partners Behavioral Lme $60 - $300 2%
Peach State Healthplan $60 - $300 2%
Philadelphia County Funding $60 - $300 2%
Presbyterian Centennial Care $60 - $300 2%
Prestige Health Choice $60 - $300 2%
Priority Partners $60 - $300 2%
Robert F Sing Program $60 - $300 2%
Rx 340B Pass Along $60 - $300 2%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $60 - $300 2%
Rx Medi-Cal $60 - $300 2%
Rx Meridian Rx $60 - $300 2%
Ryan White Florida Mssrp $60 - $300 2%
Sandhills Center Lme $60 - $300 2%
Screening For Life $60 - $300 2%
St Joseph County Hlth Dpt $60 - $300 2%
Stephenson Cty Health $60 - $300 2%
Sunshine State Health Plan $60 - $300 2%
Superior Health $60 - $300 2%
Tenncare $60 - $300 2%
Texas Children'S Health Plan $60 - $300 2%
Trillium Community Ohp $60 - $300 2%
Tufts Health Public Plans $60 - $300 2%
Vaya Health Lme $60 - $300 2%
Washtenaw Health Plan $60 - $300 2%
Wellsense Health Plan $60 - $300 2%
Wi Womens Wellness $60 - $300 2%
Meritain $64 - $397 2%
Webtpa $66 - $17,306 2%
Providence $69 - $16,000 2%
Molina Marketplace $71 - $15,470 2%
Moda Health $73 - $12,731 2%
Mountain Health Co-Op $74 - $738 2%
Selecthealth $74 - $6,507 2%
Pacificsource Health Plans $78 - $10,488 2%
Bcn Domestic $82 - $7,647 2%
Blue Benefit Administrators Of Massachusetts $82 - $7,647 2%
Blue Care Network $82 - $7,647 2%
Blue Distinction Transplant $82 - $7,647 2%
Blue Shield - Ca $82 - $7,647 2%
Blue Shield - Ny Highmark Northeastern $82 - $7,647 2%
Blue Shield - Ny Highmark Western $82 - $7,647 2%
Blue Shield - Pa (Highmark) $82 - $7,647 2%
Blue Shield - Wa (Regence) $82 - $7,647 2%
Health Choices $82 - $7,647 2%
Kaiser Domestic $82 - $7,647 2%
Pre-Employment $82 - $7,647 2%
Wc Domestic $82 - $7,647 2%
Health Plans Inc $83 - $779 2%
Ms Administrative Services $83 - $779 2%
Geha $90 - $842 2%
First Choice Health $97 - $908 3%
Allied National Global Care $98 - $921 3%
Asrm - Reliance Standard Life Insurance $98 - $921 3%
Christian Care Ministry $98 - $921 3%
Dean Health $98 - $921 3%
Fallon Health $98 - $921 3%
Family Life Insurance Company $98 - $921 3%
Ghc Scw $98 - $921 3%
International Benefit Administrators $98 - $921 3%
Lifetime Benefit Solutions $98 - $921 3%
Manhattan Life $98 - $921 3%
Medi Share $98 - $921 3%
Multiplan $98 - $921 3%
Pai $98 - $921 3%
Pan-American Life $98 - $921 3%
Paramount Hmo $98 - $921 3%
Phcs $98 - $921 3%
Trinity Health Share $98 - $921 3%
Allegiance $108 - $1,011 3%
Andrie Inc $165 - $661 5%
East Greenbush Central School District $165 - $661 5%
Genex Wc $165 - $661 5%
Healthsmart Workers Comp $165 - $661 5%
Jag Source $165 - $661 5%
New York State Insurance Fund $165 - $661 5%
Njm Insurance Group $165 - $661 5%
Rx Heatlhcomp $165 - $661 5%
Rx Restat $165 - $661 5%
Rx Saif Opdp Wc $165 - $661 5%
Rx Worker'S Comp $165 - $661 5%
Wc Accident Fund $165 - $661 5%
Wc Ace $165 - $661 5%
Wc Acs Federal Employees $165 - $661 5%
Wc Acuity $165 - $661 5%
Wc Advantage $165 - $661 5%
Wc Aegis $165 - $661 5%
Wc Aig $165 - $661 5%
Wc Aims $165 - $661 5%
Wc Alaska National Ins $165 - $661 5%
Wc Align Network $165 - $661 5%
Wc Allied $165 - $661 5%
Wc Am Trust N America $165 - $661 5%
Wc American Claims Mgmt $165 - $661 5%
Wc Amerisure $165 - $661 5%
Wc Amtrust $165 - $661 5%
Wc Asu Risk Mgt $165 - $661 5%
Wc Benetech $165 - $661 5%
Wc Berkley Admin $165 - $661 5%
Wc Broadspire $165 - $661 5%
Wc Broward County $165 - $661 5%
Wc Bunch & Associates $165 - $661 5%
Wc California State Comp Ins $165 - $661 5%
Wc California State Ins Fund $165 - $661 5%
Wc Capitol Area Health Consortium $165 - $661 5%
Wc Ccmsi $165 - $661 5%
Wc Chartis $165 - $661 5%
Wc Chubb $165 - $661 5%
Wc Cirma $165 - $661 5%
Wc City Of Albany $165 - $661 5%
Wc City Of Sioux City $165 - $661 5%
Wc Claims Mgmt Inc $165 - $661 5%
Wc Cna $165 - $661 5%
Wc Comp One Admin C/O Manageability $165 - $661 5%
Wc Compone Admin $165 - $661 5%
Wc Corvel $165 - $661 5%
Wc Ct Healthcare Trust $165 - $661 5%
Wc Donegal Insurance Group $165 - $661 5%
Wc Emc Insurance Company $165 - $661 5%
Wc Employee Mutual $165 - $661 5%
Wc Enablecomp $165 - $661 5%
Wc Encore Health Network $165 - $661 5%
Wc Erie $165 - $661 5%
Wc Esis $165 - $661 5%
Wc Evolutions $165 - $661 5%
Wc Fcci $165 - $661 5%
Wc Fed Ex $165 - $661 5%
Wc Federal Black Lung $165 - $661 5%
Wc Federated $165 - $661 5%
Wc Finley Occupational Health $165 - $661 5%
Wc First Agency/Occunet $165 - $661 5%
Wc Ford Motor $165 - $661 5%
Wc Fresno Unified Emp $165 - $661 5%
Wc Gallagher Bassett $165 - $661 5%
Wc General Motors $165 - $661 5%
Wc Generic $165 - $661 5%
Wc Genex Care For Ohio $165 - $661 5%
Wc Great West Casualty $165 - $661 5%
Wc Guarantee Insurance $165 - $661 5%
Wc Guard Insurance Company $165 - $661 5%
Wc Hab $165 - $661 5%
Wc Hartford $165 - $661 5%
Wc Hastings $165 - $661 5%
Wc Health Management $165 - $661 5%
Wc Heritage Summit $165 - $661 5%
Wc Hireright $165 - $661 5%
Wc Horizon $165 - $661 5%
Wc Icw Group $165 - $661 5%
Wc Idaho State Ins Fund $165 - $661 5%
Wc Intercare Insurance $165 - $661 5%
Wc Intermountain $165 - $661 5%
Wc Johns Eastern $165 - $661 5%
Wc Kemberton $165 - $661 5%
Wc Key Ins & Benefit Solutions $165 - $661 5%
Wc Liberty Mutual $165 - $661 5%
Wc Mac Risk Management $165 - $661 5%
Wc Massachusetts $165 - $661 5%
Wc Mdia $165 - $661 5%
Wc Meadowbrook Claim $165 - $661 5%
Wc Medical Administrators $165 - $661 5%
Wc Meijers $165 - $661 5%
Wc Memic $165 - $661 5%
Wc Mercy Workcare $165 - $661 5%
Wc Michigan $165 - $661 5%
Wc Michigan Millers Mutual $165 - $661 5%
Wc Mitchell Frankenmuth $165 - $661 5%
Wc Mra $165 - $661 5%
Wc Nationwide $165 - $661 5%
Wc Nca Comp $165 - $661 5%
Wc New York $165 - $661 5%
Wc New York Special Funds $165 - $661 5%
Wc North American Rishces $165 - $661 5%
Wc Northeast Health $165 - $661 5%
Wc Notre Dame $165 - $661 5%
Wc Novanet $165 - $661 5%
Wc O'Hara Corp $165 - $661 5%
Wc Occ Health Allen $165 - $661 5%
Wc Ohio Bureau $165 - $661 5%
Wc One Call Medical $165 - $661 5%
Wc Paradigm $165 - $661 5%
Wc Peerless $165 - $661 5%
Wc Pma $165 - $661 5%
Wc Praxis Health Network $165 - $661 5%
Wc Price Chopper $165 - $661 5%
Wc Procura Management $165 - $661 5%
Wc Qualcare $165 - $661 5%
Wc Quiktrip $165 - $661 5%
Wc Reny Company $165 - $661 5%
Wc Rev Claims $165 - $661 5%
Wc Risico $165 - $661 5%
Wc Rural Mutual $165 - $661 5%
Wc Saif Oregon $165 - $661 5%
Wc Secura $165 - $661 5%
Wc Sedgwick $165 - $661 5%
Wc Sentry $165 - $661 5%
Wc Sheakley Unicomp $165 - $661 5%
Wc Smile Lodge $165 - $661 5%
Wc Society $165 - $661 5%
Wc Srs $165 - $661 5%
Wc Taconic (Mro) $165 - $661 5%
Wc Taconic Farms $165 - $661 5%
Wc Travelers $165 - $661 5%
Wc Triad Group $165 - $661 5%
Wc Tristar $165 - $661 5%
Wc Troy Ny $165 - $661 5%
Wc Tyson $165 - $661 5%
Wc Unified Health Services $165 - $661 5%
Wc United Heartland $165 - $661 5%
Wc Us Dept Of Labor $165 - $661 5%
Wc Velocity $165 - $661 5%
Wc Walmart $165 - $661 5%
Wc West Bend $165 - $661 5%
Wc West Bend Mutual/Argent $165 - $661 5%
Wc Winnebago Industries $165 - $661 5%
Wc Yankee Trails $165 - $661 5%
Wc York Risk $165 - $661 5%
Wc Zenith $165 - $661 5%
Wc Zurich $165 - $661 5%
Oregon Screenwise $204 6%
Healthnet $268 - $401 7%
Prime Healthcare $6,948 - $11,781 190%
Priority Health $16,000 437%

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