CMS Price Transparency Data

Total knee replacement

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27447
  • Insurance Median: $518
  • Cash Discount Price: $2,821
  • vs. Medicare Baseline: 0.04x Medicare
The contracted insurance negotiated median rate for a Total knee replacement at Saint Alphonsus Medical Center - Nampa is $518. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,821. 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
$2,821

Average discount available for prompt cash payment at this facility.

Insurance Median
$518

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: $2,821 (22%)
Insurance Median: $518 (4%)
Cash: $2,821 (22% of Medicare)
Ins. Median: $518 (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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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
Aetna $124 - $13,993 1%
Align Senior Care $124 - $778 1%
Ally Align Care Adv $124 - $778 1%
American Health Plan $124 - $778 1%
Aurora Special Needs $124 - $778 1%
Blue Care Network Advantage $124 - $778 1%
Blue Cross Blue Shield $124 - $15,249 1%
Blue Shield - De (Highmark) Medciare Advantage $124 - $778 1%
Care Dimensions $124 - $778 1%
Care Improvement Plus $124 - $778 1%
Care Resources Pace $124 - $778 1%
Careplus Health Plans $124 - $778 1%
Cca - Zing Health $124 - $778 1%
Cca Senior Care Options $124 - $778 1%
Central Valley Medical Services Corp Pace $124 - $778 1%
Champion Health Plan Mcr Advantage $124 - $778 1%
Cigna $124 - $7,000 1%
Clear Spring Health $124 - $778 1%
Clover Health $124 - $778 1%
Commonwealth Care Alliance $124 - $778 1%
Community Pace At Home $124 - $778 1%
Eddy Senior Care-Pace $124 - $778 1%
Eddy Seniorcare Pace $124 - $778 1%
Elementcare $124 - $778 1%
Evercare $124 - $778 1%
Everence $124 - $778 1%
Gateway Health Plan $124 - $778 1%
Genesys Pace Of Genesee County $124 - $778 1%
Georgia Health Advantage $124 - $778 1%
Gold Advantage $124 - $778 1%
Gpa Croell Redi Mix $124 - $778 1%
Health America Advantra $124 - $778 1%
Highmark Health Options Dual Plan $124 - $778 1%
Hope Select Pace $124 - $778 1%
Horizon Nj Total Care $124 - $778 1%
Hudson Headwaters Pace $124 - $778 1%
Humana $124 - $2,934 1%
Huron Valley Pace $124 - $778 1%
Innovative Integrated Health Community Plans $124 - $778 1%
Iowa Health Advantage $124 - $778 1%
Johns Hopkins Advantage Md $124 - $778 1%
Lasso Healthcare Msa $124 - $778 1%
Life St Marys Pace $124 - $778 1%
Lifecircles Pace $124 - $778 1%
Longevity Health Plan $124 - $778 1%
Longevity Ipa Of Michigan Llc Health Plan Isnp $124 - $778 1%
Martins Point Generations Advantage $124 - $778 1%
Mass General Brigham Mcr Adv $124 - $778 1%
Medicare (plans) $124 - $14,279 1%
Medipak Advantage $124 - $778 1%
Mercy Life $124 - $778 1%
Mercyone Cedar Valley $124 - $778 1%
Meridian Complete $124 - $778 1%
Michigan Complete Health $124 - $778 1%
Nascentia Health Plus $124 - $778 1%
New Centry Health Careplus $124 - $778 1%
Osu Prime Care Advantage $124 - $778 1%
Pace Cny $124 - $778 1%
Pace Iowa Immanuel Pathways $124 - $778 1%
Pace Of Southwest Michigan $124 - $778 1%
Pace Southeast $124 - $778 1%
Pace-Trinity Health $124 - $778 1%
Peak Pace Solutions $124 - $778 1%
Perennial Advantage $124 - $778 1%
Preferred Care Partners $124 - $778 1%
Presbyterian Senior Plan $124 - $778 1%
Provider Partners Health Plan Of Illinois $124 - $778 1%
Provider Partners Health Plan Of Indiana $124 - $778 1%
Pruitthealth Premier $124 - $778 1%
Reliance Community Care Partners Care Resources Pace $124 - $778 1%
Rx Allwin $124 - $778 1%
Rx Grane Grnmedd $124 - $778 1%
Rx Retiree Rx Care $124 - $778 1%
Scan Health Plan Mcr Ipa Meritage Oon $124 - $778 1%
Secure Horizons Ma Pffs $124 - $778 1%
Serenity Pace $124 - $778 1%
Siouxland Pace $124 - $778 1%
Solis Health Plans $124 - $778 1%
Sunnyview-Pace Finance Dept $124 - $778 1%
Texan Plus $124 - $778 1%
The Health Plan $124 - $778 1%
Thome Pace $124 - $778 1%
Todays Options $124 - $778 1%
Tribute Health Plans $124 - $778 1%
Um Health Advantage $124 - $778 1%
Union Health Service $124 - $778 1%
UnitedHealthcare $124 - $13,586 1%
Welbe Health $124 - $778 1%
Wellmed $124 - $778 1%
Veterans Administration $127 - $793 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 - $857 1%
Healthcare Management Admin $137 - $12,593 1%
Tricare $137 - $857 1%
Triwest Health Alliance $137 - $857 1%
Us Family Health Plan $137 - $857 1%
Veterans Eval Services $137 - $857 1%
Medicaid / KanCare $139 - $7,679 1%
Albany County Correctional Facility $148 - $740 1%
Ambetter / Centene $148 - $740 1%
Amish Mennonite $148 - $740 1%
Ascension St. Vincent Public Safety Medical $148 - $740 1%
Bcccp-Michigan $148 - $740 1%
Bccp $148 - $740 1%
Bmc Healthnet $148 - $740 1%
Breast Grant-Connecticut $148 - $740 1%
Broward County Dept Of Health $148 - $740 1%
California Health And Wellness $148 - $740 1%
Can Community Health Inc $148 - $740 1%
Cardinal Innovations Lme $148 - $740 1%
Care Connections Of Northern Iowa $148 - $740 1%
Care Oregon Ohp $148 - $740 1%
Cencal Health Plan $148 - $740 1%
Cenpatico $148 - $740 1%
Centurion Of Idaho $148 - $740 1%
Chhuny $148 - $740 1%
Childrens Comm Health Plan $148 - $740 1%
Childrens Medical Services Title 19 $148 - $740 1%
City Of Philadelphia $148 - $740 1%
Cmh Allegan County $148 - $740 1%
Cmh Ausable Valley $148 - $740 1%
Cmh Barry County $148 - $740 1%
Cmh Bay-Arenac County $148 - $740 1%
Cmh Berrien County $148 - $740 1%
Cmh Cass County $148 - $740 1%
Cmh Central Mi County $148 - $740 1%
Cmh Clinton-Eaton-Ingham County $148 - $740 1%
Cmh Detroit Wayne Integrated Health Network $148 - $740 1%
Cmh Genesee County $148 - $740 1%
Cmh Ionia County $148 - $740 1%
Cmh Jackson County/Lifeways $148 - $740 1%
Cmh Kalamazoo $148 - $740 1%
Cmh Kent County $148 - $740 1%
Cmh Lenawee County $148 - $740 1%
Cmh Livingston County $148 - $740 1%
Cmh Macomb $148 - $740 1%
Cmh Misc $148 - $740 1%
Cmh Monroe County $148 - $740 1%
Cmh Montcalm County $148 - $740 1%
Cmh Muskegon County $148 - $740 1%
Cmh Newaygo County $148 - $740 1%
Cmh North Country $148 - $740 1%
Cmh Northern Lakes County $148 - $740 1%
Cmh Oakland County $148 - $740 1%
Cmh Ottawa County $148 - $740 1%
Cmh Van Buren County $148 - $740 1%
Cmh Washtenaw County $148 - $740 1%
Cmh Wayne County/Carelink $148 - $740 1%
Cmh Wayne Cty/Com Liv Svcs $148 - $740 1%
Cmh West Mi County $148 - $740 1%
Community Benefit Health $148 - $740 1%
Community Care Behavorial Health $148 - $740 1%
Community Care Partners $148 - $740 1%
Community Health Choice $148 - $740 1%
Connections Csp $148 - $740 1%
County Coroner $148 - $740 1%
County Funding Generic $148 - $740 1%
Covid19 Hrsa Uninsured Testing And Treatment Fund $148 - $740 1%
Dean Wi Badgercare $148 - $740 1%
Delaware County Department Of Health $148 - $740 1%
Delaware First Health $148 - $740 1%
Delta Dental Nj $148 - $740 1%
Dph Tb Program $148 - $740 1%
Dscc $148 - $740 1%
Eastpointe Lme $148 - $740 1%
Family Health Network $148 - $740 1%
Freedom First Healthcare $148 - $740 1%
Fresno County Ccs $148 - $740 1%
Ghc Scw Wi Badgercare $148 - $740 1%
Harbor Health $148 - $740 1%
Health Safety Net $148 - $740 1%
Healthy Blue Ne $148 - $740 1%
Hennepin Health $148 - $740 1%
Id County Ada $148 - $740 1%
Id County Canyon $148 - $740 1%
Id County Cat Fund $148 - $740 1%
Id County Other $148 - $740 1%
Id County Payette $148 - $740 1%
Idaho Dept Health And Wellfare $148 - $740 1%
Idaho Womens Health Check $148 - $740 1%
Indiana Breast Cervical Cancer $148 - $740 1%
Inland Empire Health Plan $148 - $740 1%
Intercommunity Health Ohp $148 - $740 1%
Iowa Total Care $148 - $740 1%
Jai Medical System $148 - $740 1%
Kern Family Health Plan $148 - $740 1%
Keystone First $148 - $740 1%
Keystone First Chip $148 - $740 1%
La Care Health Plan $148 - $740 1%
Lakeland Care Inc $148 - $740 1%
Managed Health Services - Indiana $148 - $740 1%
Maryland Breast & Cervical Program $148 - $740 1%
Maryland Healthy Smiles - Scion Dental $148 - $740 1%
Maryland Physicians Care $148 - $740 1%
Massachusetts Behavioral Health Partnership $148 - $740 1%
Mdwise $148 - $740 1%
Medi-Cal $148 - $740 1%
Medi-Cal Healthnet $148 - $740 1%
Medstar Dc Healthy Family $148 - $740 1%
Medstar Md Health Choice $148 - $740 1%
Mo Home State Health Plan $148 - $740 1%
Molina Centennial Care $148 - $740 1%
Nascentia Health Options $148 - $740 1%
Nebraska Total Care $148 - $740 1%
New York Cancer Services Program $148 - $740 1%
Nextlevel Health $148 - $740 1%
Paramount Advantage $148 - $740 1%
Parkland Community Health Plan $148 - $740 1%
Partners Behavioral Lme $148 - $740 1%
Peach State Healthplan $148 - $740 1%
Philadelphia County Funding $148 - $740 1%
Presbyterian Centennial Care $148 - $740 1%
Prestige Health Choice $148 - $740 1%
Priority Partners $148 - $740 1%
Robert F Sing Program $148 - $740 1%
Rx 340B Pass Along $148 - $740 1%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $148 - $740 1%
Rx Medi-Cal $148 - $740 1%
Rx Meridian Rx $148 - $740 1%
Ryan White Florida Mssrp $148 - $740 1%
Sandhills Center Lme $148 - $740 1%
Screening For Life $148 - $740 1%
St Joseph County Hlth Dpt $148 - $740 1%
Stephenson Cty Health $148 - $740 1%
Sunshine State Health Plan $148 - $740 1%
Superior Health $148 - $740 1%
Tenncare $148 - $740 1%
Texas Children'S Health Plan $148 - $740 1%
Trillium Community Ohp $148 - $740 1%
Tufts Health Public Plans $148 - $740 1%
Vaya Health Lme $148 - $740 1%
Washtenaw Health Plan $148 - $740 1%
Wellsense Health Plan $148 - $740 1%
Wi Womens Wellness $148 - $740 1%
Moda Health $152 - $26,924 1%
Mountain Health Co-Op $152 - $2,287 1%
Selecthealth $152 - $9,137 1%
Webtpa $152 - $36,598 1%
Meritain $154 - $1,441 1%
Molina Marketplace $165 - $32,716 1%
Providence $170 - $7,000 1%
Bcn Domestic $203 - $1,904 2%
Blue Benefit Administrators Of Massachusetts $203 - $1,904 2%
Blue Care Network $203 - $1,904 2%
Blue Distinction Transplant $203 - $1,904 2%
Blue Shield - Ca $203 - $1,904 2%
Blue Shield - Ny Highmark Northeastern $203 - $1,904 2%
Blue Shield - Ny Highmark Western $203 - $1,904 2%
Blue Shield - Pa (Highmark) $203 - $1,904 2%
Blue Shield - Wa (Regence) $203 - $12,593 2%
Health Choices $203 - $1,904 2%
Kaiser Domestic $203 - $1,904 2%
Pre-Employment $203 - $1,904 2%
Wc Domestic $203 - $1,904 2%
Pacificsource Health Plans $211 - $22,181 2%
Health Plans Inc $214 - $2,004 2%
Ms Administrative Services $214 - $2,004 2%
Geha $232 - $2,173 2%
Allegiance $284 - $2,659 2%
Allied National Global Care $289 - $2,713 2%
Asrm - Reliance Standard Life Insurance $289 - $2,713 2%
Christian Care Ministry $289 - $2,713 2%
Dean Health $289 - $2,713 2%
Fallon Health $289 - $2,713 2%
Family Life Insurance Company $289 - $2,713 2%
Ghc Scw $289 - $2,713 2%
International Benefit Administrators $289 - $2,713 2%
Lifetime Benefit Solutions $289 - $2,713 2%
Manhattan Life $289 - $2,713 2%
Medi Share $289 - $2,713 2%
Multiplan $289 - $2,713 2%
Pai $289 - $2,713 2%
Pan-American Life $289 - $2,713 2%
Paramount Hmo $289 - $2,713 2%
Phcs $289 - $2,713 2%
Trinity Health Share $289 - $2,713 2%
First Choice Health $290 - $2,722 2%
Andrie Inc $451 - $2,300 3%
East Greenbush Central School District $451 - $2,300 3%
Genex Wc $451 - $2,300 3%
Healthsmart Workers Comp $451 - $2,300 3%
Jag Source $451 - $2,300 3%
New York State Insurance Fund $451 - $2,300 3%
Njm Insurance Group $451 - $2,300 3%
Rx Heatlhcomp $451 - $2,300 3%
Rx Restat $451 - $2,300 3%
Rx Saif Opdp Wc $451 - $2,300 3%
Rx Worker'S Comp $451 - $2,300 3%
Wc Accident Fund $451 - $2,300 3%
Wc Ace $451 - $2,300 3%
Wc Acs Federal Employees $451 - $2,300 3%
Wc Acuity $451 - $2,300 3%
Wc Advantage $451 - $2,300 3%
Wc Aegis $451 - $2,300 3%
Wc Aig $451 - $2,300 3%
Wc Aims $451 - $2,300 3%
Wc Alaska National Ins $451 - $2,300 3%
Wc Align Network $451 - $2,300 3%
Wc Allied $451 - $2,300 3%
Wc Am Trust N America $451 - $2,300 3%
Wc American Claims Mgmt $451 - $2,300 3%
Wc Amerisure $451 - $2,300 3%
Wc Amtrust $451 - $2,300 3%
Wc Asu Risk Mgt $451 - $2,300 3%
Wc Benetech $451 - $2,300 3%
Wc Berkley Admin $451 - $2,300 3%
Wc Broadspire $451 - $2,300 3%
Wc Broward County $451 - $2,300 3%
Wc Bunch & Associates $451 - $2,300 3%
Wc California State Comp Ins $451 - $2,300 3%
Wc California State Ins Fund $451 - $2,300 3%
Wc Capitol Area Health Consortium $451 - $2,300 3%
Wc Ccmsi $451 - $2,300 3%
Wc Chartis $451 - $2,300 3%
Wc Chubb $451 - $2,300 3%
Wc Cirma $451 - $2,300 3%
Wc City Of Albany $451 - $2,300 3%
Wc City Of Sioux City $451 - $2,300 3%
Wc Claims Mgmt Inc $451 - $2,300 3%
Wc Cna $451 - $2,300 3%
Wc Comp One Admin C/O Manageability $451 - $2,300 3%
Wc Compone Admin $451 - $2,300 3%
Wc Corvel $451 - $2,300 3%
Wc Ct Healthcare Trust $451 - $2,300 3%
Wc Donegal Insurance Group $451 - $2,300 3%
Wc Emc Insurance Company $451 - $2,300 3%
Wc Employee Mutual $451 - $2,300 3%
Wc Enablecomp $451 - $2,300 3%
Wc Encore Health Network $451 - $2,300 3%
Wc Erie $451 - $2,300 3%
Wc Esis $451 - $2,300 3%
Wc Evolutions $451 - $2,300 3%
Wc Fcci $451 - $2,300 3%
Wc Fed Ex $451 - $2,300 3%
Wc Federal Black Lung $451 - $2,300 3%
Wc Federated $451 - $2,300 3%
Wc Finley Occupational Health $451 - $2,300 3%
Wc First Agency/Occunet $451 - $2,300 3%
Wc Ford Motor $451 - $2,300 3%
Wc Fresno Unified Emp $451 - $2,300 3%
Wc Gallagher Bassett $451 - $2,300 3%
Wc General Motors $451 - $2,300 3%
Wc Generic $451 - $2,300 3%
Wc Genex Care For Ohio $451 - $2,300 3%
Wc Great West Casualty $451 - $2,300 3%
Wc Guarantee Insurance $451 - $2,300 3%
Wc Guard Insurance Company $451 - $2,300 3%
Wc Hab $451 - $2,300 3%
Wc Hartford $451 - $2,300 3%
Wc Hastings $451 - $2,300 3%
Wc Health Management $451 - $2,300 3%
Wc Heritage Summit $451 - $2,300 3%
Wc Hireright $451 - $2,300 3%
Wc Horizon $451 - $2,300 3%
Wc Icw Group $451 - $2,300 3%
Wc Idaho State Ins Fund $451 - $2,300 3%
Wc Intercare Insurance $451 - $2,300 3%
Wc Intermountain $451 - $2,300 3%
Wc Johns Eastern $451 - $2,300 3%
Wc Kemberton $451 - $2,300 3%
Wc Key Ins & Benefit Solutions $451 - $2,300 3%
Wc Liberty Mutual $451 - $2,300 3%
Wc Mac Risk Management $451 - $2,300 3%
Wc Massachusetts $451 - $2,300 3%
Wc Mdia $451 - $2,300 3%
Wc Meadowbrook Claim $451 - $2,300 3%
Wc Medical Administrators $451 - $2,300 3%
Wc Meijers $451 - $2,300 3%
Wc Memic $451 - $2,300 3%
Wc Mercy Workcare $451 - $2,300 3%
Wc Michigan $451 - $2,300 3%
Wc Michigan Millers Mutual $451 - $2,300 3%
Wc Mitchell Frankenmuth $451 - $2,300 3%
Wc Mra $451 - $2,300 3%
Wc Nationwide $451 - $2,300 3%
Wc Nca Comp $451 - $2,300 3%
Wc New York $451 - $2,300 3%
Wc New York Special Funds $451 - $2,300 3%
Wc North American Rishces $451 - $2,300 3%
Wc Northeast Health $451 - $2,300 3%
Wc Notre Dame $451 - $2,300 3%
Wc Novanet $451 - $2,300 3%
Wc O'Hara Corp $451 - $2,300 3%
Wc Occ Health Allen $451 - $2,300 3%
Wc Ohio Bureau $451 - $2,300 3%
Wc One Call Medical $451 - $2,300 3%
Wc Paradigm $451 - $2,300 3%
Wc Peerless $451 - $2,300 3%
Wc Pma $451 - $2,300 3%
Wc Praxis Health Network $451 - $2,300 3%
Wc Price Chopper $451 - $2,300 3%
Wc Procura Management $451 - $2,300 3%
Wc Qualcare $451 - $2,300 3%
Wc Quiktrip $451 - $2,300 3%
Wc Reny Company $451 - $2,300 3%
Wc Rev Claims $451 - $2,300 3%
Wc Risico $451 - $2,300 3%
Wc Rural Mutual $451 - $2,300 3%
Wc Saif Oregon $451 - $2,300 3%
Wc Secura $451 - $2,300 3%
Wc Sedgwick $451 - $2,300 3%
Wc Sentry $451 - $2,300 3%
Wc Sheakley Unicomp $451 - $2,300 3%
Wc Smile Lodge $451 - $2,300 3%
Wc Society $451 - $2,300 3%
Wc Srs $451 - $2,300 3%
Wc Taconic (Mro) $451 - $2,300 3%
Wc Taconic Farms $451 - $2,300 3%
Wc Travelers $451 - $2,300 3%
Wc Triad Group $451 - $2,300 3%
Wc Tristar $451 - $2,300 3%
Wc Troy Ny $451 - $2,300 3%
Wc Tyson $451 - $2,300 3%
Wc Unified Health Services $451 - $2,300 3%
Wc United Heartland $451 - $2,300 3%
Wc Us Dept Of Labor $451 - $2,300 3%
Wc Velocity $451 - $2,300 3%
Wc Walmart $451 - $2,300 3%
Wc West Bend $451 - $2,300 3%
Wc West Bend Mutual/Argent $451 - $2,300 3%
Wc Winnebago Industries $451 - $2,300 3%
Wc Yankee Trails $451 - $2,300 3%
Wc York Risk $451 - $2,300 3%
Wc Zenith $451 - $2,300 3%
Wc Zurich $451 - $2,300 3%
Oregon Screenwise $502 4%
Healthnet $671 - $1,006 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