How many shoppable procedure prices are published for Saint Alphonsus Medical Center - Nampa?

Saint Alphonsus Medical Center - Nampa in Nampa, ID currently has 119 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Saint Alphonsus Medical Center - Nampa's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Saint Alphonsus Medical Center - Nampa's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Saint Alphonsus Medical Center - Nampa's CMS Care Compare overall star rating?

CMS Care Compare assigns Saint Alphonsus Medical Center - Nampa an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 96 Beds · rural Updated: 2026-03-31

Saint Alphonsus Medical Center - Nampa

4300 E Flamingo Ave, Nampa, ID 83687 · 119 Priced Procedures · 78% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.49×vs. Fair Market Price

Typical commercial prices here are +49% above the fair benchmark (1.49×) even after accounting for local nurse/doctor wages and patient complexity.

58/100 · Caution

58/100Self-Pay Cash Beats Insurance 45% of the Time

File Completeness61

Price Logic29

Peer Alignment73

Clean Billing65

Real Cash Discount72

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.49× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Saint Alphonsus Medical Center - Nampa maintains elevated commercial insurance contracts (1.49× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 45% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#20 of 27 in ID · 70th State Percentile#2,612 of 3,385 in U.S. · 77th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.01× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 45% of shoppable procedures (72/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 78% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.49× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (0.9×) & laboratory (2.5×) services average 1.31× higher multiples than routine shoppable care (1.6×)
Specialty infusion drugs (J-codes) average 1.3× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 2,410) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))

Front-Door ShoppableElective / Imaging

1.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.31× Divergence

2.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+9% Upper Tail

Q25 1.01× · Q50 1.74× · Q75 1.89×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.3× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

45% Cash Edge · 72/100Fair

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Saint Alphonsus Medical Center - Nampa

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$33,213	$84,412	$30,775	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$40,007	$39,789	$19,432	2.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$66,240	$38,556	$17,936	2.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$43,838	$36,140	$19,087	1.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$16,194	$13,999	$8,223	1.7×
Bunion correction surgery CPT Code: `28296`	$12,920	$3,584	$3,446	1.0×
Total hip replacement CPT Code: `27130`	$2,825	$2,825	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,821	$2,821	$13,523	0.2×
Trauma team activation HCPCS Code: `G0390`	$2,938	$2,621	$1,453	1.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,451	$1,451	$6,109	0.2×
Injection procedure for pain management HCPCS Code: `G0260`	$1,802	$1,304	$855	1.5×
Breast lump removal CPT Code: `19120`	$1,263	$1,263	$3,875	0.3×
Colonoscopy with biopsy CPT Code: `45380`	—	—	$1,256	—
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,220	$1,220	$3,372	0.4×
Inguinal hernia repair CPT Code: `49505`	$1,157	$1,157	$3,629	0.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,508	$1,026	$511	2.0×
Blood transfusion CPT Code: `36430`	—	$1,000	$498	2.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,241	$1,009	$369	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,813	$959	$448	2.1×
Vaginal delivery (full package) CPT Code: `59400`	$5,094	$970	$2,680	0.4×
Rabies immune globulin HCPCS Code: `90375`	$3,214	$891	$322	2.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,535	$654	$338	1.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,594	$598	$343	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,375	$490	$242	2.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,572	$490	$258	1.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,088	$497	$303	1.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,913	$325	$151	2.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$350	$350	$1,021	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,085	$293	$160	1.8×
CT scan, sinuses CPT Code: `70486`	$893	$293	$166	1.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,134	$293	$167	1.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,299	$293	$168	1.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,299	$293	$169	1.7×
CT scan, pelvis CPT Code: `72192`	$993	$293	$163	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$346	$293	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$409	$293	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$459	$257	$130	unverified
Psychological testing evaluation CPT Code: `96136`	$253	$229	$128	1.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$172	$251	$201	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$236	$236	$583	0.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$348	$207	$148	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$165	$152	$64	2.4×
Screening mammogram (both breasts) CPT Code: `77067`	$211	$171	$123	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$288	$175	$185	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$280	$165	$181	0.9×
X-ray, chest (single view) CPT Code: `71045`	—	$183	$92	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$253	$128	$86	1.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$137	$128	$86	1.5×
X-ray, chest (two views) CPT Code: `71046`	$192	$129	$93	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$209	$88	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$240	$108	$110	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$201	$118	$166	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$125	$123	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$83	$35	2.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$93	$40	2.3×
Upper endoscopy with biopsy CPT Code: `43239`	$301	$99	$987	0.1×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$91	$981	0.1×
Typhoid vaccine HCPCS Code: `90675`	$285	$285	$347	0.8×
Drug screening test HCPCS Code: `G0480`	$200	$172	$116	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$536	$164	$203	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$266	$107	$111	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$324	$116	$140	0.8×
Culture, bacterial CPT Code: `87070`	$66	$66	$9	7.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$49	$49	$20	2.5×
Blood test, vitamin D CPT Code: `82306`	$92	$57	$31	1.8×
Colorectal cancer screening HCPCS Code: `G0010`	$52	$71	$49	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$59	$36	$19	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$70	$55	$38	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$68	$55	$38	1.4×
Physical therapy (gait training) CPT Code: `97116`	$68	$47	$33	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$66	$53	$38	1.4×
Orthotic fitting and training CPT Code: `97760`	$73	$71	$51	1.4×
Prosthetic fitting and training CPT Code: `97761`	$73	$62	$45	1.4×
Physical therapy (manual therapy) CPT Code: `97140`	$62	$46	$34	1.4×
Hepatitis B vaccine HCPCS Code: `90744`	$76	$39	$37	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$232	$57	$56	1.0×
Blood antibody screen CPT Code: `86850`	—	$41	$46	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$53	$126	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$506	$55	$272	0.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$49	$49	$35	unverified
Blood test, calcium CPT Code: `82310`	$25	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$27	$8	$4	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$8	$4	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$74	$12	$6	2.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$45	$21	$11	1.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$41	$19	$10	1.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$39	$15	$8	1.9×
Hepatitis C antibody test CPT Code: `86803`	$72	$28	$15	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$48	$26	$14	1.9×
Blood test, amylase CPT Code: `82150`	$31	$13	$7	1.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$80	$26	$14	1.9×
Blood test, lipase CPT Code: `83690`	$77	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	$32	$13	$7	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$69	$33	$18	1.8×
Culture, blood CPT Code: `87040`	$137	$20	$11	1.8×
Blood test, vitamin B12 CPT Code: `82607`	$58	$29	$16	1.8×
Blood test, basic metabolic panel CPT Code: `80048`	$46	$16	$9	1.8×
Blood test, liver function panel CPT Code: `80076`	$47	$16	$9	1.8×
Flu vaccine injection HCPCS Code: `G0008`	$36	$36	$48	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$35	$35	$49	0.7×
X-ray, hip CPT Code: `73502`	—	$37	$93	0.4×
X-ray, lower back CPT Code: `72110`	$159	$40	$112	0.4×
Blood test, potassium CPT Code: `84132`	$38	$9	$5	1.8×
Blood test, sodium CPT Code: `84295`	$26	$9	$5	1.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$59	$18	$14	1.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$142	$34	$39	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$28	$8	$5	1.6×
Extended office visit (prolonged) HCPCS Code: `G2212`	$66	$28	$33	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$51	$19	$25	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$84	$14	$25	0.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$137	$31	$93	0.3×
X-ray, ankle CPT Code: `73610`	$215	$28	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$200	$27	$92	0.3×
X-ray, foot CPT Code: `73630`	$189	$26	$92	0.3×
X-ray, hand CPT Code: `73130`	—	$22	$93	0.2×
X-ray, pelvis CPT Code: `72170`	—	$22	$110	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$8	$3	unverified
Blood test, hemoglobin CPT Code: `85018`	$27	$27	$3	unverified

Showing top 25 high-impact procedures of 119 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 34.7%

Audit a Bill or Quote at Saint Alphonsus Medical Center - Nampa (Zero PHI Required)

CMS CCN: 130013

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $33,213

Insurer Median $84,412

1. Amount on Your Bill or Quote ($) Pre-filled with Saint Alphonsus Medical Center - Nampa’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $70,379 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $70,379

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.7% of gross = $70,379).

Step 2 · Cash vs. Insurance Arbitrage Save $169,376 Paying Cash

Self-Pay Cash Rate ($33,213) Beats Your Bill

Saint Alphonsus Medical Center - Nampa's published 45 CFR § 180 self-pay cash rate is $33,213 (vs. $84,412 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$171,814 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($202,589) is $171,814 above the denoised Fair BaseRate ($30,775) and 8.6× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 820200896

Filing Period: 202510

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (34.7% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend78%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait130 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Saint Alphonsus Medical Center - Nampa. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (763 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Saint Alphonsus Medical Center - Nampa.

Price Index: 1.00× regional baseline

Quality: 69/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Centurion of Idaho

-56.1%

Oregon Screenwise

-54.2%

Priority Health

+88.1%

Median Household Income$72,355U.S. Census ACS

Local Uninsured Share11.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 58/100 · Caution CMS CCN 130013 EIN 820200896

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 130013) ↗ Verify IRS Form 990 (EIN 820200896) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows32,394 (CMS v3.0.0)

File Integrity DigestVerified · CCN 130013

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy