CMS Price Transparency Data
Prosthetic fitting and training
Facility: Saint Alphonsus Medical Center - Nampa
Billing Code: 97761 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97761
- Insurance Median: $74
- Cash Discount Price: $73
- vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a Prosthetic fitting and training at Saint Alphonsus Medical Center - Nampa is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.83x the Medicare baseline. Located in 4300 E Flamingo Ave, Nampa, ID.
Cash / Self-Pay
$73
Average discount available for prompt cash payment at this facility.
Insurance Median
$74
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$40.41
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $40.41 (100%)
Cash / Self-Pay: $73 (181%)
Insurance Median: $74 (183%)
Cash: $73 (181% of Medicare)
Ins. Median: $74 (183% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $40.41 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 | $30 - $50 | 74% |
| Ada County Jail Inmate Ins | $35 | 87% |
| Centurion Of Idaho | $35 | 87% |
| Id County Ada | $35 | 87% |
| Id County Canyon | $35 | 87% |
| Id County Cat Fund | $35 | 87% |
| Id County Payette | $35 | 87% |
| Idaho Dept Health And Wellfare | $35 | 87% |
| Medicare (plans) | $38 - $40 | 94% |
| UnitedHealthcare | $38 - $102 | 94% |
| Aetna | $39 - $99 | 97% |
| American Health Advantage Of Idaho | $39 | 97% |
| Moda Health | $39 - $96 | 97% |
| Blue Cross Blue Shield | $42 - $74 | 104% |
| Blue Shield - Id (Regence) | $48 - $62 | 119% |
| Trillium Community Ohp | $50 | 124% |
| Selecthealth | $53 - $102 | 131% |
| Asuris Northwest Health | $62 | 153% |
| Blue Shield - Wa (Regence) | $62 - $74 | 153% |
| Healthcare Management Admin | $62 | 153% |
| Mountain Health Co-Op | $68 | 168% |
| Pacificsource Health Plans | $68 - $82 | 168% |
| Bcn Domestic | $74 | 183% |
| Blue Benefit Administrators Of Massachusetts | $74 | 183% |
| Blue Care Network | $74 | 183% |
| Blue Distinction Transplant | $74 | 183% |
| Blue Shield - Ca | $74 | 183% |
| Blue Shield - Ny Highmark Northeastern | $74 | 183% |
| Blue Shield - Ny Highmark Western | $74 | 183% |
| Blue Shield - Pa (Highmark) | $74 | 183% |
| Health Choices | $74 | 183% |
| Kaiser Domestic | $74 | 183% |
| Pre-Employment | $74 | 183% |
| Wc Domestic | $74 | 183% |
| Prime Healthcare | $76 | 188% |
| Columbia Health Network | $82 | 203% |
| Allegiance | $84 | 208% |
| Molina Marketplace | $91 | 225% |
| First Health | $96 | 238% |
| Medi Share | $96 | 238% |
| Allied Benefit Systems | $99 | 245% |
| Ameriben | $99 | 245% |
| Asr Health Benefits | $99 | 245% |
| Boon Chapman | $99 | 245% |
| Christian Brother Services | $99 | 245% |
| Geha | $99 - $102 | 245% |
| Healthez | $99 | 245% |
| Humana | $99 | 245% |
| Luminare Health (Detroit) | $99 | 245% |
| Meritain | $99 | 245% |
| Rural Carrier Health Benefit Plan | $99 | 245% |
| Allied National Global Care | $102 | 252% |
| Asrm - Reliance Standard Life Insurance | $102 | 252% |
| Christian Care Ministry | $102 | 252% |
| Correctional Health Partners | $102 | 252% |
| Dean Health | $102 | 252% |
| Fallon Health | $102 | 252% |
| Family Life Insurance Company | $102 | 252% |
| First Choice Health | $102 | 252% |
| Ghc Scw | $102 | 252% |
| International Benefit Administrators | $102 | 252% |
| Lifetime Benefit Solutions | $102 | 252% |
| Manhattan Life | $102 | 252% |
| Pai | $102 | 252% |
| Pan-American Life | $102 | 252% |
| Paramount Hmo | $102 | 252% |
| Phcs | $102 | 252% |
| Providence | $102 - $300 | 252% |
| Trinity Health Share | $102 | 252% |
| Webtpa | $102 | 252% |
| Cigna | $300 | 742% |
| Priority Health | $300 | 742% |