CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$103

about 0.9× the $118 Medicare rate · typically $65–$170

modeled estimate · not a bill or quote

What this hospital charges insurers

$108

About the fair price

about $5 over the fair price · 0.9× Medicare

Medicare pays $118 Fair price $103 This hospital $108 Cash price $240 Hospital's list price $240

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Highest price of the 9 ID hospitals we have prices for — worth calling around.

Cheapest $29 Priciest $108

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $103 (about 0.9× the $118 Medicare rate). Saint Alphonsus Medical Center - Nampa charges insurers about $108, or about $240 in cash — about the fair price. Located in Nampa, ID.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$97 - $206	83%
Blue Cross Blue Shieldmajor	$97 - $225	83%
Aetnamajor	$97 - $237	83%
Cignamajor	$97 - $188	83%
Humanamajor	$97 - $155	83%
Kaiser Permanentemajor	$225	191%
Ambetter (Centene)	$97	83%
Clover Health	$108	92%
Dean Health Plan	$240	204%
GEHA	$165 - $206	140%
Health Net	$97 - $237	83%
HealthPartners	$97	83%
Meridian	$97 - $108	83%
Moda Health	$142 - $197	121%
Molina	$97 - $215	83%
PacificSource	$158 - $182	134%
Paramount	$97 - $240	83%
Presbyterian	$97 - $108	83%
SelectHealth	$197 - $240	168%
Tufts Health Plan	$97	83%
WellMed	$108	92%
WellSense	$97	83%
+ 363 smaller / regional plans	$89 - $240

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 240), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99203.

Insurance Before you use insurance

Call your insurance company to confirm Saint Alphonsus Medical Center - Nampa is in-network.
Ask your insurer whether prior approval is required for CPT code 99203.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Alphonsus Medical Center - Nampa

Compare: New patient office visit (30-44 min) at other ID hospitals

Insurance negotiated median for the same procedure, sorted lowest first.