CMS Price Transparency Data
MRI, knee or other leg joint
Facility: Saint Alphonsus Medical Center - Nampa
Billing Code: 73721 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73721
- Insurance Median: $1,379
- Cash Discount Price: $2,241
- vs. Medicare Baseline: 5.66x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Saint Alphonsus Medical Center - Nampa is $1,379. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,241. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.66x the Medicare baseline. Located in 4300 E Flamingo Ave, Nampa, ID.
Cash / Self-Pay
$2,241
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,379
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$243.77
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $2,241 (919%)
Insurance Median: $1,379 (566%)
Cash: $2,241 (919% of Medicare)
Ins. Median: $1,379 (566% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $243.77 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 566% of the Medicare baseline (a markup of 466%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 |
|---|---|---|
| Ada County Jail Inmate Ins | $108 - $159 | 44% |
| Centurion Of Idaho | $108 - $159 | 44% |
| Id County Ada | $108 - $159 | 44% |
| Id County Canyon | $108 - $159 | 44% |
| Id County Cat Fund | $108 - $159 | 44% |
| Id County Payette | $108 - $159 | 44% |
| Idaho Dept Health And Wellfare | $108 - $159 | 44% |
| Medicaid / KanCare | $108 - $1,534 | 44% |
| Medicare (plans) | $252 - $265 | 103% |
| UnitedHealthcare | $252 - $3,102 | 103% |
| Moda Health | $258 - $2,930 | 106% |
| Aetna | $260 - $3,023 | 107% |
| American Health Advantage Of Idaho | $263 | 108% |
| Selecthealth | $271 - $3,102 | 111% |
| Blue Cross Blue Shield | $283 - $2,291 | 116% |
| Prime Healthcare | $463 | 190% |
| Blue Shield - Id (Regence) | $476 - $1,177 | 195% |
| Molina Marketplace | $608 | 249% |
| Asuris Northwest Health | $654 | 268% |
| Blue Shield - Wa (Regence) | $654 - $2,291 | 268% |
| Healthcare Management Admin | $654 | 268% |
| Webtpa | $680 - $3,102 | 279% |
| Trillium Community Ohp | $1,023 - $1,534 | 420% |
| Bcn Domestic | $1,146 - $2,291 | 470% |
| Blue Benefit Administrators Of Massachusetts | $1,146 - $2,291 | 470% |
| Blue Care Network | $1,146 - $2,291 | 470% |
| Blue Distinction Transplant | $1,146 - $2,291 | 470% |
| Blue Shield - Ca | $1,146 - $2,291 | 470% |
| Blue Shield - Ny Highmark Northeastern | $1,146 - $2,291 | 470% |
| Blue Shield - Ny Highmark Western | $1,146 - $2,291 | 470% |
| Blue Shield - Pa (Highmark) | $1,146 - $2,291 | 470% |
| Health Choices | $1,146 - $2,291 | 470% |
| Kaiser Domestic | $1,146 - $2,291 | 470% |
| Pre-Employment | $1,146 - $2,291 | 470% |
| Wc Domestic | $1,146 - $2,291 | 470% |
| Mountain Health Co-Op | $1,379 - $2,068 | 566% |
| Pacificsource Health Plans | $1,379 - $2,516 | 566% |
| Columbia Health Network | $1,678 - $2,516 | 688% |
| Allegiance | $1,701 - $2,551 | 698% |
| First Health | $1,953 - $2,930 | 801% |
| Medi Share | $1,953 - $2,930 | 801% |
| Allied Benefit Systems | $2,015 - $3,023 | 827% |
| Ameriben | $2,015 - $3,023 | 827% |
| Asr Health Benefits | $2,015 - $3,023 | 827% |
| Boon Chapman | $2,015 - $3,023 | 827% |
| Christian Brother Services | $2,015 - $3,023 | 827% |
| Geha | $2,015 - $3,102 | 827% |
| Healthez | $2,015 - $3,023 | 827% |
| Luminare Health (Detroit) | $2,015 - $3,023 | 827% |
| Meritain | $2,015 - $3,023 | 827% |
| Rural Carrier Health Benefit Plan | $2,015 - $3,023 | 827% |
| Humana | $2,022 - $3,033 | 829% |
| Allied National Global Care | $2,068 - $3,102 | 848% |
| Asrm - Reliance Standard Life Insurance | $2,068 - $3,102 | 848% |
| Christian Care Ministry | $2,068 - $3,102 | 848% |
| Correctional Health Partners | $2,068 - $3,102 | 848% |
| Dean Health | $2,068 - $3,102 | 848% |
| Fallon Health | $2,068 - $3,102 | 848% |
| Family Life Insurance Company | $2,068 - $3,102 | 848% |
| First Choice Health | $2,068 - $3,102 | 848% |
| Ghc Scw | $2,068 - $3,102 | 848% |
| International Benefit Administrators | $2,068 - $3,102 | 848% |
| Lifetime Benefit Solutions | $2,068 - $3,102 | 848% |
| Manhattan Life | $2,068 - $3,102 | 848% |
| Pai | $2,068 - $3,102 | 848% |
| Pan-American Life | $2,068 - $3,102 | 848% |
| Paramount Hmo | $2,068 - $3,102 | 848% |
| Phcs | $2,068 - $3,102 | 848% |
| Providence | $2,068 - $3,650 | 848% |
| Trinity Health Share | $2,068 - $3,102 | 848% |
| Cigna | $3,650 | 1497% |
| Priority Health | $3,650 | 1497% |