CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$74
about 0.5× the $136 Medicare rate · typically $62–$126
modeled estimate · not a bill or quote
What this hospital charges insurers
$125
Above the fair price
about $51 over the fair price · 0.9× Medicare
Medicare pays $136 Fair price $74 This hospital $125 Hospital's list price $188

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 $79 Priciest $125

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 (30-39 min) is about $74 (about 0.5× the $136 Medicare rate). Saint Alphonsus Medical Center - Nampa charges insurers about $125 — above the fair price. Located in Nampa, ID.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $74. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $79 - $208 58%
Blue Cross Blue Shieldmajor $79 - $260 58%
Aetnamajor $79 - $273 58%
Cignamajor $79 - $218 58%
Humanamajor $79 - $157 58%
Kaiser Permanentemajor $197 - $260 145%
Ambetter (Centene) $79 - $113 58%
Clover Health $79 - $125 58%
Dean Health Plan $185 - $252 136%
GEHA $147 - $208 108%
Health Net $79 - $273 58%
HealthPartners $79 - $113 58%
Meridian $79 - $125 58%
Moda Health $109 - $226 80%
Molina $79 - $249 58%
PacificSource $122 - $212 90%
Paramount $79 - $252 58%
Presbyterian $79 - $125 58%
SelectHealth $174 - $275 128%
Tufts Health Plan $79 - $113 58%
WellMed $79 - $125 58%
WellSense $79 - $113 58%
+ 363 smaller / regional plans $79 - $273
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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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