CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $125
  • Cash Discount Price: $246
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Saint Alphonsus Medical Center - Nampa is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $246. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.92x the Medicare baseline. Located in 4300 E Flamingo Ave, Nampa, ID.
Cash / Self-Pay
$246

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$135.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.6 (100%)
Cash / Self-Pay: $246 (181%)
Insurance Median: $125 (92%)
Cash: $246 (181% of Medicare)
Ins. Median: $125 (92% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.6 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $54 - $118 40%
Aetna $79 - $273 58%
Albany County Correctional Facility $79 - $113 58%
Align Senior Care $79 - $125 58%
Ally Align Care Adv $79 - $125 58%
Ambetter / Centene $79 - $113 58%
American Health Plan $79 - $125 58%
Amish Mennonite $79 - $113 58%
Ascension St. Vincent Public Safety Medical $79 - $113 58%
Aurora Special Needs $79 - $125 58%
Bcccp-Michigan $79 - $113 58%
Bccp $79 - $113 58%
Blue Care Network Advantage $79 - $125 58%
Blue Cross Blue Shield $79 - $260 58%
Blue Shield - De (Highmark) Medciare Advantage $79 - $125 58%
Bmc Healthnet $79 - $113 58%
Breast Grant-Connecticut $79 - $113 58%
Broward County Dept Of Health $79 - $113 58%
California Health And Wellness $79 - $113 58%
Can Community Health Inc $79 - $113 58%
Cardinal Innovations Lme $79 - $113 58%
Care Connections Of Northern Iowa $79 - $113 58%
Care Dimensions $79 - $125 58%
Care Improvement Plus $79 - $125 58%
Care Oregon Ohp $79 - $113 58%
Care Resources Pace $79 - $125 58%
Careplus Health Plans $79 - $125 58%
Cca - Zing Health $79 - $125 58%
Cca Senior Care Options $79 - $125 58%
Cencal Health Plan $79 - $113 58%
Cenpatico $79 - $113 58%
Central Valley Medical Services Corp Pace $79 - $125 58%
Centurion Of Idaho $79 - $113 58%
Champion Health Plan Mcr Advantage $79 - $125 58%
Chhuny $79 - $113 58%
Childrens Comm Health Plan $79 - $113 58%
Childrens Medical Services Title 19 $79 - $113 58%
Cigna $79 - $218 58%
City Of Philadelphia $79 - $113 58%
Clear Spring Health $79 - $125 58%
Clover Health $79 - $125 58%
Cmh Allegan County $79 - $113 58%
Cmh Ausable Valley $79 - $113 58%
Cmh Barry County $79 - $113 58%
Cmh Bay-Arenac County $79 - $113 58%
Cmh Berrien County $79 - $113 58%
Cmh Cass County $79 - $113 58%
Cmh Central Mi County $79 - $113 58%
Cmh Clinton-Eaton-Ingham County $79 - $113 58%
Cmh Detroit Wayne Integrated Health Network $79 - $113 58%
Cmh Genesee County $79 - $113 58%
Cmh Ionia County $79 - $113 58%
Cmh Jackson County/Lifeways $79 - $113 58%
Cmh Kalamazoo $79 - $113 58%
Cmh Kent County $79 - $113 58%
Cmh Lenawee County $79 - $113 58%
Cmh Livingston County $79 - $113 58%
Cmh Macomb $79 - $113 58%
Cmh Misc $79 - $113 58%
Cmh Monroe County $79 - $113 58%
Cmh Montcalm County $79 - $113 58%
Cmh Muskegon County $79 - $113 58%
Cmh Newaygo County $79 - $113 58%
Cmh North Country $79 - $113 58%
Cmh Northern Lakes County $79 - $113 58%
Cmh Oakland County $79 - $113 58%
Cmh Ottawa County $79 - $113 58%
Cmh Van Buren County $79 - $113 58%
Cmh Washtenaw County $79 - $113 58%
Cmh Wayne County/Carelink $79 - $113 58%
Cmh Wayne Cty/Com Liv Svcs $79 - $113 58%
Cmh West Mi County $79 - $113 58%
Commonwealth Care Alliance $79 - $125 58%
Community Benefit Health $79 - $113 58%
Community Care Behavorial Health $79 - $113 58%
Community Care Partners $79 - $113 58%
Community Health Choice $79 - $113 58%
Community Pace At Home $79 - $125 58%
Connections Csp $79 - $113 58%
County Coroner $79 - $113 58%
County Funding Generic $79 - $113 58%
Covid19 Hrsa Uninsured Testing And Treatment Fund $79 - $113 58%
Dean Wi Badgercare $79 - $113 58%
Delaware County Department Of Health $79 - $113 58%
Delaware First Health $79 - $113 58%
Delta Dental Nj $79 - $113 58%
Dph Tb Program $79 - $113 58%
Dscc $79 - $113 58%
Eastpointe Lme $79 - $113 58%
Eddy Senior Care-Pace $79 - $125 58%
Eddy Seniorcare Pace $79 - $125 58%
Elementcare $79 - $125 58%
Evercare $79 - $125 58%
Everence $79 - $125 58%
Family Health Network $79 - $113 58%
Freedom First Healthcare $79 - $113 58%
Fresno County Ccs $79 - $113 58%
Gateway Health Plan $79 - $125 58%
Genesys Pace Of Genesee County $79 - $125 58%
Georgia Health Advantage $79 - $125 58%
Ghc Scw Wi Badgercare $79 - $113 58%
Gold Advantage $79 - $125 58%
Gpa Croell Redi Mix $79 - $125 58%
Harbor Health $79 - $113 58%
Health America Advantra $79 - $125 58%
Health Safety Net $79 - $113 58%
Healthy Blue Ne $79 - $113 58%
Hennepin Health $79 - $113 58%
Highmark Health Options Dual Plan $79 - $125 58%
Hope Select Pace $79 - $125 58%
Horizon Nj Total Care $79 - $125 58%
Hudson Headwaters Pace $79 - $125 58%
Humana $79 - $157 58%
Huron Valley Pace $79 - $125 58%
Id County Ada $79 - $113 58%
Id County Canyon $79 - $113 58%
Id County Cat Fund $79 - $113 58%
Id County Other $79 - $113 58%
Id County Payette $79 - $113 58%
Idaho Dept Health And Wellfare $79 - $113 58%
Idaho Womens Health Check $79 - $113 58%
Indiana Breast Cervical Cancer $79 - $113 58%
Inland Empire Health Plan $79 - $113 58%
Innovative Integrated Health Community Plans $79 - $125 58%
Intercommunity Health Ohp $79 - $113 58%
Iowa Health Advantage $79 - $125 58%
Iowa Total Care $79 - $113 58%
Jai Medical System $79 - $113 58%
Johns Hopkins Advantage Md $79 - $125 58%
Kern Family Health Plan $79 - $113 58%
Keystone First $79 - $113 58%
Keystone First Chip $79 - $113 58%
La Care Health Plan $79 - $113 58%
Lakeland Care Inc $79 - $113 58%
Lasso Healthcare Msa $79 - $125 58%
Life St Marys Pace $79 - $125 58%
Lifecircles Pace $79 - $125 58%
Longevity Health Plan $79 - $125 58%
Longevity Ipa Of Michigan Llc Health Plan Isnp $79 - $125 58%
Managed Health Services - Indiana $79 - $113 58%
Martins Point Generations Advantage $79 - $125 58%
Maryland Breast & Cervical Program $79 - $113 58%
Maryland Healthy Smiles - Scion Dental $79 - $113 58%
Maryland Physicians Care $79 - $113 58%
Mass General Brigham Mcr Adv $79 - $125 58%
Massachusetts Behavioral Health Partnership $79 - $113 58%
Mdwise $79 - $113 58%
Medi-Cal $79 - $113 58%
Medi-Cal Healthnet $79 - $113 58%
Medicare (plans) $79 - $139 58%
Medipak Advantage $79 - $125 58%
Medstar Dc Healthy Family $79 - $113 58%
Medstar Md Health Choice $79 - $113 58%
Mercy Life $79 - $125 58%
Mercyone Cedar Valley $79 - $125 58%
Meridian Complete $79 - $125 58%
Michigan Complete Health $79 - $125 58%
Mo Home State Health Plan $79 - $113 58%
Molina Centennial Care $79 - $113 58%
Nascentia Health Options $79 - $113 58%
Nascentia Health Plus $79 - $125 58%
Nebraska Total Care $79 - $113 58%
New Centry Health Careplus $79 - $125 58%
New York Cancer Services Program $79 - $113 58%
Nextlevel Health $79 - $113 58%
Osu Prime Care Advantage $79 - $125 58%
Pace Cny $79 - $125 58%
Pace Iowa Immanuel Pathways $79 - $125 58%
Pace Of Southwest Michigan $79 - $125 58%
Pace Southeast $79 - $125 58%
Pace-Trinity Health $79 - $125 58%
Paramount Advantage $79 - $113 58%
Parkland Community Health Plan $79 - $113 58%
Partners Behavioral Lme $79 - $113 58%
Peach State Healthplan $79 - $113 58%
Peak Pace Solutions $79 - $125 58%
Perennial Advantage $79 - $125 58%
Philadelphia County Funding $79 - $113 58%
Preferred Care Partners $79 - $125 58%
Presbyterian Centennial Care $79 - $113 58%
Presbyterian Senior Plan $79 - $125 58%
Prestige Health Choice $79 - $113 58%
Priority Partners $79 - $113 58%
Provider Partners Health Plan Of Illinois $79 - $125 58%
Provider Partners Health Plan Of Indiana $79 - $125 58%
Pruitthealth Premier $79 - $125 58%
Reliance Community Care Partners Care Resources Pace $79 - $125 58%
Robert F Sing Program $79 - $113 58%
Rx 340B Pass Along $79 - $113 58%
Rx Allwin $79 - $125 58%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $79 - $113 58%
Rx Grane Grnmedd $79 - $125 58%
Rx Medi-Cal $79 - $113 58%
Rx Meridian Rx $79 - $113 58%
Rx Retiree Rx Care $79 - $125 58%
Ryan White Florida Mssrp $79 - $113 58%
Sandhills Center Lme $79 - $113 58%
Scan Health Plan Mcr Ipa Meritage Oon $79 - $125 58%
Screening For Life $79 - $113 58%
Secure Horizons Ma Pffs $79 - $125 58%
Serenity Pace $79 - $125 58%
Siouxland Pace $79 - $125 58%
Solis Health Plans $79 - $125 58%
St Joseph County Hlth Dpt $79 - $113 58%
Stephenson Cty Health $79 - $113 58%
Sunnyview-Pace Finance Dept $79 - $125 58%
Sunshine State Health Plan $79 - $113 58%
Superior Health $79 - $113 58%
Tenncare $79 - $113 58%
Texan Plus $79 - $125 58%
Texas Children'S Health Plan $79 - $113 58%
The Health Plan $79 - $125 58%
Thome Pace $79 - $125 58%
Todays Options $79 - $125 58%
Tribute Health Plans $79 - $125 58%
Trillium Community Ohp $79 - $113 58%
Tufts Health Public Plans $79 - $113 58%
Um Health Advantage $79 - $125 58%
Union Health Service $79 - $125 58%
UnitedHealthcare $79 - $208 58%
Vaya Health Lme $79 - $113 58%
Washtenaw Health Plan $79 - $113 58%
Welbe Health $79 - $125 58%
Wellmed $79 - $125 58%
Wellsense Health Plan $79 - $113 58%
Wi Womens Wellness $79 - $113 58%
Veterans Administration $81 - $128 60%
American Health Advantage Of Idaho $82 - $130 60%
Champva $89 - $117 66%
Tricare $89 - $117 66%
Triwest Health Alliance $89 - $117 66%
Us Family Health Plan $89 - $117 66%
Veterans Eval Services $89 - $117 66%
Oregon Screenwise $101 - $102 74%
Moda Health $109 - $226 80%
Pacificsource Health Plans $122 - $212 90%
Healthnet $123 91%
First Choice Health $132 - $178 97%
Providence $132 - $218 97%
Webtpa $132 - $230 97%
Allied Benefit Systems $147 - $190 108%
Asr Health Benefits $147 - $190 108%
Boon Chapman $147 - $190 108%
Christian Brother Services $147 - $190 108%
Geha $147 - $208 108%
Healthscope $147 - $190 108%
Luminare Health (Detroit) $147 - $190 108%
Meritain $147 - $190 108%
Rural Carrier Health Benefit Plan $147 - $190 108%
Allegiance $157 - $213 116%
Asuris Northwest Health $158 - $208 117%
Blue Shield - Id (Regence) $158 - $226 117%
Healthcare Management Admin $158 - $208 117%
Molina Marketplace $158 - $249 117%
Mountain Health Co-Op $174 - $226 128%
Selecthealth $174 - $275 128%
Andrie Inc $175 - $273 129%
East Greenbush Central School District $175 - $273 129%
Genex Wc $175 - $273 129%
Healthsmart Workers Comp $175 - $273 129%
Jag Source $175 - $273 129%
New York State Insurance Fund $175 - $273 129%
Njm Insurance Group $175 - $273 129%
Rx Heatlhcomp $175 - $273 129%
Rx Restat $175 - $273 129%
Rx Saif Opdp Wc $175 - $273 129%
Rx Worker'S Comp $175 - $273 129%
Wc Accident Fund $175 - $273 129%
Wc Ace $175 - $273 129%
Wc Acs Federal Employees $175 - $273 129%
Wc Acuity $175 - $273 129%
Wc Advantage $175 - $273 129%
Wc Aegis $175 - $273 129%
Wc Aig $175 - $273 129%
Wc Aims $175 - $273 129%
Wc Alaska National Ins $175 - $273 129%
Wc Align Network $175 - $273 129%
Wc Allied $175 - $273 129%
Wc Am Trust N America $175 - $273 129%
Wc American Claims Mgmt $175 - $273 129%
Wc Amerisure $175 - $273 129%
Wc Amtrust $175 - $273 129%
Wc Asu Risk Mgt $175 - $273 129%
Wc Benetech $175 - $273 129%
Wc Berkley Admin $175 - $273 129%
Wc Broadspire $175 - $273 129%
Wc Broward County $175 - $273 129%
Wc Bunch & Associates $175 - $273 129%
Wc California State Comp Ins $175 - $273 129%
Wc California State Ins Fund $175 - $273 129%
Wc Capitol Area Health Consortium $175 - $273 129%
Wc Ccmsi $175 - $273 129%
Wc Chartis $175 - $273 129%
Wc Chubb $175 - $273 129%
Wc Cirma $175 - $273 129%
Wc City Of Albany $175 - $273 129%
Wc City Of Sioux City $175 - $273 129%
Wc Claims Mgmt Inc $175 - $273 129%
Wc Cna $175 - $273 129%
Wc Comp One Admin C/O Manageability $175 - $273 129%
Wc Compone Admin $175 - $273 129%
Wc Corvel $175 - $273 129%
Wc Ct Healthcare Trust $175 - $273 129%
Wc Donegal Insurance Group $175 - $273 129%
Wc Emc Insurance Company $175 - $273 129%
Wc Employee Mutual $175 - $273 129%
Wc Enablecomp $175 - $273 129%
Wc Encore Health Network $175 - $273 129%
Wc Erie $175 - $273 129%
Wc Esis $175 - $273 129%
Wc Evolutions $175 - $273 129%
Wc Fcci $175 - $273 129%
Wc Fed Ex $175 - $273 129%
Wc Federal Black Lung $175 - $273 129%
Wc Federated $175 - $273 129%
Wc Finley Occupational Health $175 - $273 129%
Wc First Agency/Occunet $175 - $273 129%
Wc Ford Motor $175 - $273 129%
Wc Fresno Unified Emp $175 - $273 129%
Wc Gallagher Bassett $175 - $273 129%
Wc General Motors $175 - $273 129%
Wc Generic $175 - $273 129%
Wc Genex Care For Ohio $175 - $273 129%
Wc Great West Casualty $175 - $273 129%
Wc Guarantee Insurance $175 - $273 129%
Wc Guard Insurance Company $175 - $273 129%
Wc Hab $175 - $273 129%
Wc Hartford $175 - $273 129%
Wc Hastings $175 - $273 129%
Wc Health Management $175 - $273 129%
Wc Heritage Summit $175 - $273 129%
Wc Hireright $175 - $273 129%
Wc Horizon $175 - $273 129%
Wc Icw Group $175 - $273 129%
Wc Idaho State Ins Fund $175 - $273 129%
Wc Intercare Insurance $175 - $273 129%
Wc Intermountain $175 - $273 129%
Wc Johns Eastern $175 - $273 129%
Wc Kemberton $175 - $273 129%
Wc Key Ins & Benefit Solutions $175 - $273 129%
Wc Liberty Mutual $175 - $273 129%
Wc Mac Risk Management $175 - $273 129%
Wc Massachusetts $175 - $273 129%
Wc Mdia $175 - $273 129%
Wc Meadowbrook Claim $175 - $273 129%
Wc Medical Administrators $175 - $273 129%
Wc Meijers $175 - $273 129%
Wc Memic $175 - $273 129%
Wc Mercy Workcare $175 - $273 129%
Wc Michigan $175 - $273 129%
Wc Michigan Millers Mutual $175 - $273 129%
Wc Mitchell Frankenmuth $175 - $273 129%
Wc Mra $175 - $273 129%
Wc Nationwide $175 - $273 129%
Wc Nca Comp $175 - $273 129%
Wc New York $175 - $273 129%
Wc New York Special Funds $175 - $273 129%
Wc North American Rishces $175 - $273 129%
Wc Northeast Health $175 - $273 129%
Wc Notre Dame $175 - $273 129%
Wc Novanet $175 - $273 129%
Wc O'Hara Corp $175 - $273 129%
Wc Occ Health Allen $175 - $273 129%
Wc Ohio Bureau $175 - $273 129%
Wc One Call Medical $175 - $273 129%
Wc Paradigm $175 - $273 129%
Wc Peerless $175 - $273 129%
Wc Pma $175 - $273 129%
Wc Praxis Health Network $175 - $273 129%
Wc Price Chopper $175 - $273 129%
Wc Procura Management $175 - $273 129%
Wc Qualcare $175 - $273 129%
Wc Quiktrip $175 - $273 129%
Wc Reny Company $175 - $273 129%
Wc Rev Claims $175 - $273 129%
Wc Risico $175 - $273 129%
Wc Rural Mutual $175 - $273 129%
Wc Saif Oregon $175 - $273 129%
Wc Secura $175 - $273 129%
Wc Sedgwick $175 - $273 129%
Wc Sentry $175 - $273 129%
Wc Sheakley Unicomp $175 - $273 129%
Wc Smile Lodge $175 - $273 129%
Wc Society $175 - $273 129%
Wc Srs $175 - $273 129%
Wc Taconic (Mro) $175 - $273 129%
Wc Taconic Farms $175 - $273 129%
Wc Travelers $175 - $273 129%
Wc Triad Group $175 - $273 129%
Wc Tristar $175 - $273 129%
Wc Troy Ny $175 - $273 129%
Wc Tyson $175 - $273 129%
Wc Unified Health Services $175 - $273 129%
Wc United Heartland $175 - $273 129%
Wc Us Dept Of Labor $175 - $273 129%
Wc Velocity $175 - $273 129%
Wc Walmart $175 - $273 129%
Wc West Bend $175 - $273 129%
Wc West Bend Mutual/Argent $175 - $273 129%
Wc Winnebago Industries $175 - $273 129%
Wc Yankee Trails $175 - $273 129%
Wc York Risk $175 - $273 129%
Wc Zenith $175 - $273 129%
Wc Zurich $175 - $273 129%
Allied National Global Care $185 - $252 136%
Asrm - Reliance Standard Life Insurance $185 - $252 136%
Christian Care Ministry $185 - $252 136%
Dean Health $185 - $252 136%
Fallon Health $185 - $252 136%
Family Life Insurance Company $185 - $252 136%
Ghc Scw $185 - $252 136%
International Benefit Administrators $185 - $252 136%
Lifetime Benefit Solutions $185 - $252 136%
Manhattan Life $185 - $252 136%
Medi Share $185 - $252 136%
Multiplan $185 - $252 136%
Pai $185 - $252 136%
Pan-American Life $185 - $252 136%
Paramount Hmo $185 - $252 136%
Phcs $185 - $252 136%
Trinity Health Share $185 - $252 136%
Health Plans Inc $186 - $239 137%
Ms Administrative Services $186 - $239 137%
St Lukes Health Plan $194 - $248 143%
Bcn Domestic $197 - $260 145%
Blue Benefit Administrators Of Massachusetts $197 - $260 145%
Blue Care Network $197 - $260 145%
Blue Distinction Transplant $197 - $260 145%
Blue Shield - Ca $197 - $260 145%
Blue Shield - Ny Highmark Northeastern $197 - $260 145%
Blue Shield - Ny Highmark Western $197 - $260 145%
Blue Shield - Pa (Highmark) $197 - $260 145%
Blue Shield - Wa (Regence) $197 - $260 145%
Health Choices $197 - $260 145%
Kaiser Domestic $197 - $260 145%
Pre-Employment $197 - $260 145%
Wc Domestic $197 - $260 145%

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