CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$88
about 0.9× the $95 Medicare rate · typically $54–$142
modeled estimate · not a bill or quote
What this hospital charges insurers
$88
About the fair price
0.9× Medicare
Medicare pays $95 Fair price $88 This hospital $88 Cash price $209 Hospital's list price $209

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 $55 Priciest $88

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

A fair price for a Office visit, established patient (20-29 min) is about $88 (about 0.9× the $95 Medicare rate). Saint Alphonsus Medical Center - Nampa charges insurers about $88, or about $209 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 $80 - $143 84%
Blue Cross Blue Shieldmajor $80 - $185 84%
Aetnamajor $80 - $191 84%
Cignamajor $80 - $153 84%
Humanamajor $80 - $104 84%
Kaiser Permanentemajor $185 194%
Ambetter (Centene) $80 84%
Clover Health $88 92%
Dean Health Plan $172 181%
GEHA $134 - $143 141%
Health Net $75 - $191 79%
HealthPartners $80 84%
Meridian $80 - $88 84%
Moda Health $94 - $159 99%
Molina $80 - $175 84%
PacificSource $106 - $149 111%
Paramount $80 - $172 84%
Presbyterian $80 - $88 84%
SelectHealth $159 - $198 167%
Tufts Health Plan $80 84%
WellMed $88 92%
WellSense $80 84%
+ 363 smaller / regional plans $73 - $191
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.

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Facility Profile & Credentials

  • Address: 4300 E Flamingo Ave, Nampa, ID 83687
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals