CMS Price Transparency Data

Total hip replacement

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27130
  • Insurance Median: $494
  • Cash Discount Price: $2,825
  • vs. Medicare Baseline: 0.04x Medicare
The contracted insurance negotiated median rate for a Total hip replacement at Saint Alphonsus Medical Center - Nampa is $494. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,825. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.04x the Medicare baseline. Located in 4300 E Flamingo Ave, Nampa, ID.
Cash / Self-Pay
$2,825

Average discount available for prompt cash payment at this facility.

Insurance Median
$494

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)
Cash / Self-Pay: $2,825 (22%)
Insurance Median: $494 (4%)
Cash: $2,825 (22% of Medicare)
Ins. Median: $494 (4% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13,116.76 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

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $125 - $13,993 1%
Align Senior Care $125 - $779 1%
Ally Align Care Adv $125 - $779 1%
American Health Plan $125 - $779 1%
Aurora Special Needs $125 - $779 1%
Blue Care Network Advantage $125 - $779 1%
Blue Cross Blue Shield $125 - $15,249 1%
Blue Shield - De (Highmark) Medciare Advantage $125 - $779 1%
Care Dimensions $125 - $779 1%
Care Improvement Plus $125 - $779 1%
Care Resources Pace $125 - $779 1%
Careplus Health Plans $125 - $779 1%
Cca - Zing Health $125 - $779 1%
Cca Senior Care Options $125 - $779 1%
Central Valley Medical Services Corp Pace $125 - $779 1%
Champion Health Plan Mcr Advantage $125 - $779 1%
Cigna $125 - $7,000 1%
Clear Spring Health $125 - $779 1%
Clover Health $125 - $779 1%
Commonwealth Care Alliance $125 - $779 1%
Community Pace At Home $125 - $779 1%
Eddy Senior Care-Pace $125 - $779 1%
Eddy Seniorcare Pace $125 - $779 1%
Elementcare $125 - $779 1%
Evercare $125 - $779 1%
Everence $125 - $779 1%
Gateway Health Plan $125 - $779 1%
Genesys Pace Of Genesee County $125 - $779 1%
Georgia Health Advantage $125 - $779 1%
Gold Advantage $125 - $779 1%
Gpa Croell Redi Mix $125 - $779 1%
Health America Advantra $125 - $779 1%
Highmark Health Options Dual Plan $125 - $779 1%
Hope Select Pace $125 - $779 1%
Horizon Nj Total Care $125 - $779 1%
Hudson Headwaters Pace $125 - $779 1%
Humana $125 - $2,741 1%
Huron Valley Pace $125 - $779 1%
Innovative Integrated Health Community Plans $125 - $779 1%
Iowa Health Advantage $125 - $779 1%
Johns Hopkins Advantage Md $125 - $779 1%
Lasso Healthcare Msa $125 - $779 1%
Life St Marys Pace $125 - $779 1%
Lifecircles Pace $125 - $779 1%
Longevity Health Plan $125 - $779 1%
Longevity Ipa Of Michigan Llc Health Plan Isnp $125 - $779 1%
Martins Point Generations Advantage $125 - $779 1%
Mass General Brigham Mcr Adv $125 - $779 1%
Medicare (plans) $125 - $14,279 1%
Medipak Advantage $125 - $779 1%
Mercy Life $125 - $779 1%
Mercyone Cedar Valley $125 - $779 1%
Meridian Complete $125 - $779 1%
Michigan Complete Health $125 - $779 1%
Nascentia Health Plus $125 - $779 1%
New Centry Health Careplus $125 - $779 1%
Osu Prime Care Advantage $125 - $779 1%
Pace Cny $125 - $779 1%
Pace Iowa Immanuel Pathways $125 - $779 1%
Pace Of Southwest Michigan $125 - $779 1%
Pace Southeast $125 - $779 1%
Pace-Trinity Health $125 - $779 1%
Peak Pace Solutions $125 - $779 1%
Perennial Advantage $125 - $779 1%
Preferred Care Partners $125 - $779 1%
Presbyterian Senior Plan $125 - $779 1%
Provider Partners Health Plan Of Illinois $125 - $779 1%
Provider Partners Health Plan Of Indiana $125 - $779 1%
Pruitthealth Premier $125 - $779 1%
Reliance Community Care Partners Care Resources Pace $125 - $779 1%
Rx Allwin $125 - $779 1%
Rx Grane Grnmedd $125 - $779 1%
Rx Retiree Rx Care $125 - $779 1%
Scan Health Plan Mcr Ipa Meritage Oon $125 - $779 1%
Secure Horizons Ma Pffs $125 - $779 1%
Serenity Pace $125 - $779 1%
Siouxland Pace $125 - $779 1%
Solis Health Plans $125 - $779 1%
Sunnyview-Pace Finance Dept $125 - $779 1%
Texan Plus $125 - $779 1%
The Health Plan $125 - $779 1%
Thome Pace $125 - $779 1%
Todays Options $125 - $779 1%
Tribute Health Plans $125 - $779 1%
Um Health Advantage $125 - $779 1%
Union Health Service $125 - $779 1%
UnitedHealthcare $125 - $13,586 1%
Welbe Health $125 - $779 1%
Wellmed $125 - $779 1%
Veterans Administration $127 - $795 1%
American Health Advantage Of Idaho $131 - $14,129 1%
Asuris Northwest Health $137 - $12,593 1%
Blue Shield - Id (Regence) $137 - $12,593 1%
Champva $137 - $858 1%
Healthcare Management Admin $137 - $12,593 1%
Tricare $137 - $858 1%
Triwest Health Alliance $137 - $858 1%
Us Family Health Plan $137 - $858 1%
Veterans Eval Services $137 - $858 1%
Medicaid / KanCare $139 - $7,884 1%
Albany County Correctional Facility $148 - $741 1%
Ambetter / Centene $148 - $741 1%
Amish Mennonite $148 - $741 1%
Ascension St. Vincent Public Safety Medical $148 - $741 1%
Bcccp-Michigan $148 - $741 1%
Bccp $148 - $741 1%
Bmc Healthnet $148 - $741 1%
Breast Grant-Connecticut $148 - $741 1%
Broward County Dept Of Health $148 - $741 1%
California Health And Wellness $148 - $741 1%
Can Community Health Inc $148 - $741 1%
Cardinal Innovations Lme $148 - $741 1%
Care Connections Of Northern Iowa $148 - $741 1%
Care Oregon Ohp $148 - $741 1%
Cencal Health Plan $148 - $741 1%
Cenpatico $148 - $741 1%
Centurion Of Idaho $148 - $741 1%
Chhuny $148 - $741 1%
Childrens Comm Health Plan $148 - $741 1%
Childrens Medical Services Title 19 $148 - $741 1%
City Of Philadelphia $148 - $741 1%
Cmh Allegan County $148 - $741 1%
Cmh Ausable Valley $148 - $741 1%
Cmh Barry County $148 - $741 1%
Cmh Bay-Arenac County $148 - $741 1%
Cmh Berrien County $148 - $741 1%
Cmh Cass County $148 - $741 1%
Cmh Central Mi County $148 - $741 1%
Cmh Clinton-Eaton-Ingham County $148 - $741 1%
Cmh Detroit Wayne Integrated Health Network $148 - $741 1%
Cmh Genesee County $148 - $741 1%
Cmh Ionia County $148 - $741 1%
Cmh Jackson County/Lifeways $148 - $741 1%
Cmh Kalamazoo $148 - $741 1%
Cmh Kent County $148 - $741 1%
Cmh Lenawee County $148 - $741 1%
Cmh Livingston County $148 - $741 1%
Cmh Macomb $148 - $741 1%
Cmh Misc $148 - $741 1%
Cmh Monroe County $148 - $741 1%
Cmh Montcalm County $148 - $741 1%
Cmh Muskegon County $148 - $741 1%
Cmh Newaygo County $148 - $741 1%
Cmh North Country $148 - $741 1%
Cmh Northern Lakes County $148 - $741 1%
Cmh Oakland County $148 - $741 1%
Cmh Ottawa County $148 - $741 1%
Cmh Van Buren County $148 - $741 1%
Cmh Washtenaw County $148 - $741 1%
Cmh Wayne County/Carelink $148 - $741 1%
Cmh Wayne Cty/Com Liv Svcs $148 - $741 1%
Cmh West Mi County $148 - $741 1%
Community Benefit Health $148 - $741 1%
Community Care Behavorial Health $148 - $741 1%
Community Care Partners $148 - $741 1%
Community Health Choice $148 - $741 1%
Connections Csp $148 - $741 1%
County Coroner $148 - $741 1%
County Funding Generic $148 - $741 1%
Covid19 Hrsa Uninsured Testing And Treatment Fund $148 - $741 1%
Dean Wi Badgercare $148 - $741 1%
Delaware County Department Of Health $148 - $741 1%
Delaware First Health $148 - $741 1%
Delta Dental Nj $148 - $741 1%
Dph Tb Program $148 - $741 1%
Dscc $148 - $741 1%
Eastpointe Lme $148 - $741 1%
Family Health Network $148 - $741 1%
Freedom First Healthcare $148 - $741 1%
Fresno County Ccs $148 - $741 1%
Ghc Scw Wi Badgercare $148 - $741 1%
Harbor Health $148 - $741 1%
Health Safety Net $148 - $741 1%
Healthy Blue Ne $148 - $741 1%
Hennepin Health $148 - $741 1%
Id County Ada $148 - $741 1%
Id County Canyon $148 - $741 1%
Id County Cat Fund $148 - $741 1%
Id County Other $148 - $741 1%
Id County Payette $148 - $741 1%
Idaho Dept Health And Wellfare $148 - $741 1%
Idaho Womens Health Check $148 - $741 1%
Indiana Breast Cervical Cancer $148 - $741 1%
Inland Empire Health Plan $148 - $741 1%
Intercommunity Health Ohp $148 - $741 1%
Iowa Total Care $148 - $741 1%
Jai Medical System $148 - $741 1%
Kern Family Health Plan $148 - $741 1%
Keystone First $148 - $741 1%
Keystone First Chip $148 - $741 1%
La Care Health Plan $148 - $741 1%
Lakeland Care Inc $148 - $741 1%
Managed Health Services - Indiana $148 - $741 1%
Maryland Breast & Cervical Program $148 - $741 1%
Maryland Healthy Smiles - Scion Dental $148 - $741 1%
Maryland Physicians Care $148 - $741 1%
Massachusetts Behavioral Health Partnership $148 - $741 1%
Mdwise $148 - $741 1%
Medi-Cal $148 - $741 1%
Medi-Cal Healthnet $148 - $741 1%
Medstar Dc Healthy Family $148 - $741 1%
Medstar Md Health Choice $148 - $741 1%
Mo Home State Health Plan $148 - $741 1%
Molina Centennial Care $148 - $741 1%
Nascentia Health Options $148 - $741 1%
Nebraska Total Care $148 - $741 1%
New York Cancer Services Program $148 - $741 1%
Nextlevel Health $148 - $741 1%
Paramount Advantage $148 - $741 1%
Parkland Community Health Plan $148 - $741 1%
Partners Behavioral Lme $148 - $741 1%
Peach State Healthplan $148 - $741 1%
Philadelphia County Funding $148 - $741 1%
Presbyterian Centennial Care $148 - $741 1%
Prestige Health Choice $148 - $741 1%
Priority Partners $148 - $741 1%
Robert F Sing Program $148 - $741 1%
Rx 340B Pass Along $148 - $741 1%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $148 - $741 1%
Rx Medi-Cal $148 - $741 1%
Rx Meridian Rx $148 - $741 1%
Ryan White Florida Mssrp $148 - $741 1%
Sandhills Center Lme $148 - $741 1%
Screening For Life $148 - $741 1%
St Joseph County Hlth Dpt $148 - $741 1%
Stephenson Cty Health $148 - $741 1%
Sunshine State Health Plan $148 - $741 1%
Superior Health $148 - $741 1%
Tenncare $148 - $741 1%
Texas Children'S Health Plan $148 - $741 1%
Trillium Community Ohp $148 - $741 1%
Tufts Health Public Plans $148 - $741 1%
Vaya Health Lme $148 - $741 1%
Washtenaw Health Plan $148 - $741 1%
Wellsense Health Plan $148 - $741 1%
Wi Womens Wellness $148 - $741 1%
Moda Health $153 - $26,924 1%
Mountain Health Co-Op $153 - $2,289 1%
Selecthealth $153 - $2,308 1%
Webtpa $153 - $36,598 1%
Meritain $154 - $1,443 1%
Molina Marketplace $165 - $32,716 1%
Providence $170 - $7,000 1%
Bcn Domestic $203 - $1,906 2%
Blue Benefit Administrators Of Massachusetts $203 - $1,906 2%
Blue Care Network $203 - $1,906 2%
Blue Distinction Transplant $203 - $1,906 2%
Blue Shield - Ca $203 - $1,906 2%
Blue Shield - Ny Highmark Northeastern $203 - $1,906 2%
Blue Shield - Ny Highmark Western $203 - $1,906 2%
Blue Shield - Pa (Highmark) $203 - $1,906 2%
Blue Shield - Wa (Regence) $203 - $12,593 2%
Health Choices $203 - $1,906 2%
Kaiser Domestic $203 - $1,906 2%
Pre-Employment $203 - $1,906 2%
Wc Domestic $203 - $1,906 2%
Pacificsource Health Plans $211 - $22,181 2%
Health Plans Inc $214 - $2,006 2%
Ms Administrative Services $214 - $2,006 2%
Geha $232 - $2,176 2%
First Choice Health $272 - $2,548 2%
Allegiance $284 - $2,660 2%
Allied National Global Care $290 - $2,714 2%
Asrm - Reliance Standard Life Insurance $290 - $2,714 2%
Christian Care Ministry $290 - $2,714 2%
Dean Health $290 - $2,714 2%
Fallon Health $290 - $2,714 2%
Family Life Insurance Company $290 - $2,714 2%
Ghc Scw $290 - $2,714 2%
International Benefit Administrators $290 - $2,714 2%
Lifetime Benefit Solutions $290 - $2,714 2%
Manhattan Life $290 - $2,714 2%
Medi Share $290 - $2,714 2%
Multiplan $290 - $2,714 2%
Pai $290 - $2,714 2%
Pan-American Life $290 - $2,714 2%
Paramount Hmo $290 - $2,714 2%
Phcs $290 - $2,714 2%
Trinity Health Share $290 - $2,714 2%
Andrie Inc $452 - $2,306 3%
East Greenbush Central School District $452 - $2,306 3%
Genex Wc $452 - $2,306 3%
Healthsmart Workers Comp $452 - $2,306 3%
Jag Source $452 - $2,306 3%
New York State Insurance Fund $452 - $2,306 3%
Njm Insurance Group $452 - $2,306 3%
Rx Heatlhcomp $452 - $2,306 3%
Rx Restat $452 - $2,306 3%
Rx Saif Opdp Wc $452 - $2,306 3%
Rx Worker'S Comp $452 - $2,306 3%
Wc Accident Fund $452 - $2,306 3%
Wc Ace $452 - $2,306 3%
Wc Acs Federal Employees $452 - $2,306 3%
Wc Acuity $452 - $2,306 3%
Wc Advantage $452 - $2,306 3%
Wc Aegis $452 - $2,306 3%
Wc Aig $452 - $2,306 3%
Wc Aims $452 - $2,306 3%
Wc Alaska National Ins $452 - $2,306 3%
Wc Align Network $452 - $2,306 3%
Wc Allied $452 - $2,306 3%
Wc Am Trust N America $452 - $2,306 3%
Wc American Claims Mgmt $452 - $2,306 3%
Wc Amerisure $452 - $2,306 3%
Wc Amtrust $452 - $2,306 3%
Wc Asu Risk Mgt $452 - $2,306 3%
Wc Benetech $452 - $2,306 3%
Wc Berkley Admin $452 - $2,306 3%
Wc Broadspire $452 - $2,306 3%
Wc Broward County $452 - $2,306 3%
Wc Bunch & Associates $452 - $2,306 3%
Wc California State Comp Ins $452 - $2,306 3%
Wc California State Ins Fund $452 - $2,306 3%
Wc Capitol Area Health Consortium $452 - $2,306 3%
Wc Ccmsi $452 - $2,306 3%
Wc Chartis $452 - $2,306 3%
Wc Chubb $452 - $2,306 3%
Wc Cirma $452 - $2,306 3%
Wc City Of Albany $452 - $2,306 3%
Wc City Of Sioux City $452 - $2,306 3%
Wc Claims Mgmt Inc $452 - $2,306 3%
Wc Cna $452 - $2,306 3%
Wc Comp One Admin C/O Manageability $452 - $2,306 3%
Wc Compone Admin $452 - $2,306 3%
Wc Corvel $452 - $2,306 3%
Wc Ct Healthcare Trust $452 - $2,306 3%
Wc Donegal Insurance Group $452 - $2,306 3%
Wc Emc Insurance Company $452 - $2,306 3%
Wc Employee Mutual $452 - $2,306 3%
Wc Enablecomp $452 - $2,306 3%
Wc Encore Health Network $452 - $2,306 3%
Wc Erie $452 - $2,306 3%
Wc Esis $452 - $2,306 3%
Wc Evolutions $452 - $2,306 3%
Wc Fcci $452 - $2,306 3%
Wc Fed Ex $452 - $2,306 3%
Wc Federal Black Lung $452 - $2,306 3%
Wc Federated $452 - $2,306 3%
Wc Finley Occupational Health $452 - $2,306 3%
Wc First Agency/Occunet $452 - $2,306 3%
Wc Ford Motor $452 - $2,306 3%
Wc Fresno Unified Emp $452 - $2,306 3%
Wc Gallagher Bassett $452 - $2,306 3%
Wc General Motors $452 - $2,306 3%
Wc Generic $452 - $2,306 3%
Wc Genex Care For Ohio $452 - $2,306 3%
Wc Great West Casualty $452 - $2,306 3%
Wc Guarantee Insurance $452 - $2,306 3%
Wc Guard Insurance Company $452 - $2,306 3%
Wc Hab $452 - $2,306 3%
Wc Hartford $452 - $2,306 3%
Wc Hastings $452 - $2,306 3%
Wc Health Management $452 - $2,306 3%
Wc Heritage Summit $452 - $2,306 3%
Wc Hireright $452 - $2,306 3%
Wc Horizon $452 - $2,306 3%
Wc Icw Group $452 - $2,306 3%
Wc Idaho State Ins Fund $452 - $2,306 3%
Wc Intercare Insurance $452 - $2,306 3%
Wc Intermountain $452 - $2,306 3%
Wc Johns Eastern $452 - $2,306 3%
Wc Kemberton $452 - $2,306 3%
Wc Key Ins & Benefit Solutions $452 - $2,306 3%
Wc Liberty Mutual $452 - $2,306 3%
Wc Mac Risk Management $452 - $2,306 3%
Wc Massachusetts $452 - $2,306 3%
Wc Mdia $452 - $2,306 3%
Wc Meadowbrook Claim $452 - $2,306 3%
Wc Medical Administrators $452 - $2,306 3%
Wc Meijers $452 - $2,306 3%
Wc Memic $452 - $2,306 3%
Wc Mercy Workcare $452 - $2,306 3%
Wc Michigan $452 - $2,306 3%
Wc Michigan Millers Mutual $452 - $2,306 3%
Wc Mitchell Frankenmuth $452 - $2,306 3%
Wc Mra $452 - $2,306 3%
Wc Nationwide $452 - $2,306 3%
Wc Nca Comp $452 - $2,306 3%
Wc New York $452 - $2,306 3%
Wc New York Special Funds $452 - $2,306 3%
Wc North American Rishces $452 - $2,306 3%
Wc Northeast Health $452 - $2,306 3%
Wc Notre Dame $452 - $2,306 3%
Wc Novanet $452 - $2,306 3%
Wc O'Hara Corp $452 - $2,306 3%
Wc Occ Health Allen $452 - $2,306 3%
Wc Ohio Bureau $452 - $2,306 3%
Wc One Call Medical $452 - $2,306 3%
Wc Paradigm $452 - $2,306 3%
Wc Peerless $452 - $2,306 3%
Wc Pma $452 - $2,306 3%
Wc Praxis Health Network $452 - $2,306 3%
Wc Price Chopper $452 - $2,306 3%
Wc Procura Management $452 - $2,306 3%
Wc Qualcare $452 - $2,306 3%
Wc Quiktrip $452 - $2,306 3%
Wc Reny Company $452 - $2,306 3%
Wc Rev Claims $452 - $2,306 3%
Wc Risico $452 - $2,306 3%
Wc Rural Mutual $452 - $2,306 3%
Wc Saif Oregon $452 - $2,306 3%
Wc Secura $452 - $2,306 3%
Wc Sedgwick $452 - $2,306 3%
Wc Sentry $452 - $2,306 3%
Wc Sheakley Unicomp $452 - $2,306 3%
Wc Smile Lodge $452 - $2,306 3%
Wc Society $452 - $2,306 3%
Wc Srs $452 - $2,306 3%
Wc Taconic (Mro) $452 - $2,306 3%
Wc Taconic Farms $452 - $2,306 3%
Wc Travelers $452 - $2,306 3%
Wc Triad Group $452 - $2,306 3%
Wc Tristar $452 - $2,306 3%
Wc Troy Ny $452 - $2,306 3%
Wc Tyson $452 - $2,306 3%
Wc Unified Health Services $452 - $2,306 3%
Wc United Heartland $452 - $2,306 3%
Wc Us Dept Of Labor $452 - $2,306 3%
Wc Velocity $452 - $2,306 3%
Wc Walmart $452 - $2,306 3%
Wc West Bend $452 - $2,306 3%
Wc West Bend Mutual/Argent $452 - $2,306 3%
Wc Winnebago Industries $452 - $2,306 3%
Wc Yankee Trails $452 - $2,306 3%
Wc York Risk $452 - $2,306 3%
Wc Zenith $452 - $2,306 3%
Wc Zurich $452 - $2,306 3%
Oregon Screenwise $503 4%
Healthnet $671 - $1,007 5%
Priority Health $7,000 53%
Prime Healthcare $24,913 190%

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