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

Saint Alphonsus Regional Medical Center in Boise, ID currently has 123 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Saint Alphonsus Regional Medical Center's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Saint Alphonsus Regional Medical Center 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 374 Beds · rural Updated: 2026-03-31

Saint Alphonsus Regional Medical Center

1055 North Curtis Road, Boise, ID 83706 · 123 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.30×vs. Fair Market Price

Typical commercial prices here are +30% above the fair benchmark (1.30×) even after accounting for local nurse/doctor wages and patient complexity.

59/100 · Caution

59/100Self-Pay Cash Beats Insurance 43% of the Time

File Completeness66

Price Logic28

Peer Alignment70

Clean Billing72

Real Cash Discount71

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.30× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Saint Alphonsus Regional Medical Center prices routine shoppable procedures near 1.4× Medicare (p50 1.38×) while skewing captive emergency, lab, and upper-quartile codes to 2.1× Medicare (p75 1.91×, +38% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#17 of 27 in ID · 59th State Percentile#2,242 of 3,385 in U.S. · 66th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.64× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 43% of shoppable procedures (71/100 Cash Honesty)
CMS clinical safety score (68/100 safety score) with 77% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (29.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.30× 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 (4.1×) & laboratory (2.3×) services average 1.50× higher multiples than routine shoppable care (1.4×)
Upper-quartile procedures (Q75 1.91×) jump +38% above the median procedure ratio (Q50 1.38×)
Consolidated metro market (HHI 2,410) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER1.50× Divergence

2.1× Medicare

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

Quantile Tail Spread+38% Upper Tail

Q25 0.64× · Q50 1.38× · Q75 1.91×

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

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

4.1× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

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

1.1× MedicareGood

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

43% Cash Edge · 71/100Fair

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 68/100Fair

Procedure Prices at Saint Alphonsus Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 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`	$53,521	$84,412	$30,775	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$34,802	$39,789	$19,432	2.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$58,392	$37,288	$17,936	2.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$41,388	$36,140	$19,087	1.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$15,133	$13,999	$8,223	1.7×
Total hip replacement CPT Code: `27130`	—	—	$13,413	—
Breast lump removal CPT Code: `19120`	—	—	$3,875	—
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	—	$3,372	—
Total knee replacement CPT Code: `27447`	$2,821	$2,821	$13,523	0.2×
Trauma team activation HCPCS Code: `G0390`	$11,619	$2,621	$1,453	1.8×
Bunion correction surgery CPT Code: `28296`	$2,201	$2,201	$3,446	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,451	$1,451	$6,109	0.2×
Injection procedure for pain management HCPCS Code: `G0260`	$1,972	$1,304	$855	1.5×
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×
C-section delivery (full package) CPT Code: `59510`	$5,400	$1,002	$2,975	0.3×
MRI, knee or other leg joint CPT Code: `73721`	$2,241	$1,020	$369	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,594	$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×
Colonoscopy with biopsy CPT Code: `45380`	$804	$804	$1,256	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,535	$654	$338	1.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,594	$654	$343	1.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,375	$490	$242	2.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,088	$497	$303	1.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,572	$490	$258	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$350	$350	$1,021	0.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$532	$295	$151	2.0×
CT scan, pelvis CPT Code: `72192`	$993	$293	$163	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, head (no contrast) CPT Code: `70450`	$1,085	$293	$160	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$346	$293	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$409	$264	$134	2.0×
Family therapy session CPT Code: `90847`	$206	$256	$173	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$251	$201	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$348	$218	$148	1.5×
X-ray, foot CPT Code: `73630`	$238	$238	$92	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$211	$152	$64	2.4×
Care planning with family CPT Code: `90887`	$172	$173	$107	1.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$176	$176	$86	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$260	$148	$181	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$258	$140	$185	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$253	$114	$86	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	—	$92	$110	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,023	$116	$583	0.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$81	$123	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$256	$89	$166	0.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$94	$94	$272	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	—	$99	$987	0.1×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$91	$981	0.1×
Typhoid vaccine HCPCS Code: `90675`	$1,142	$475	$347	1.4×
Drug screening test HCPCS Code: `G0480`	$463	$144	$116	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$108	$108	$14	7.7×
Pneumococcal vaccine HCPCS Code: `90732`	$91	$116	$140	0.8×
Blood test, lipase CPT Code: `83690`	$77	$77	$7	11.0×
Orthotic fitting and training CPT Code: `97760`	$73	$71	$51	1.4×
Prosthetic fitting and training CPT Code: `97761`	$73	$62	$45	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$70	$55	$40	1.4×
Screening mammogram (both breasts) CPT Code: `77067`	$216	$79	$123	0.6×
Ultrasound, pelvis CPT Code: `76856`	$259	$77	$130	0.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$66	$51	$38	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$75	$87	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$157	$67	$111	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$53	$126	0.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$74	$203	0.4×
Neurobehavioral status check CPT Code: `96116`	$251	$71	$231	0.3×
Blood test, vitamin D CPT Code: `82306`	$92	$64	$31	unverified
Hepatitis C antibody test CPT Code: `86803`	$81	$81	$15	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$69	$36	$18	2.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$70	$50	$38	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$7	$3	2.3×
Blood test, calcium CPT Code: `82310`	$25	$11	$5	2.2×
Blood test, liver function panel CPT Code: `80076`	$47	$18	$9	2.0×
Culture, blood CPT Code: `87040`	$137	$22	$11	2.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$48	$27	$14	1.9×
Physical therapy (gait training) CPT Code: `97116`	$68	$44	$33	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$68	$49	$38	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$64	$44	$35	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$62	$40	$34	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$76	$39	$37	1.1×
Blood antibody screen CPT Code: `86850`	$109	$41	$46	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$131	$39	$56	0.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$59	$40	$19	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$77	$13	$6	2.2×
Blood test, hemoglobin CPT Code: `85018`	—	$6	$3	2.0×
Culture, bacterial CPT Code: `87070`	$66	$17	$9	1.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$91	$34	$39	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$27	$6	$4	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$6	$4	1.5×
Blood test, potassium CPT Code: `84132`	$38	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$37	$7	$5	1.4×
Electrical stimulation therapy HCPCS Code: `G0283`	$59	$18	$14	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$49	$15	$16	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$51	$19	$25	0.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$60	$22	$33	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$65	$30	$48	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$57	$30	$49	0.6×
Colorectal cancer screening HCPCS Code: `G0010`	$52	$30	$49	0.6×
X-ray, hip CPT Code: `73502`	—	$37	$93	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$106	$31	$93	0.3×
X-ray, hand CPT Code: `73130`	—	$29	$93	0.3×
X-ray, shoulder CPT Code: `73030`	—	$28	$92	0.3×
X-ray, chest (two views) CPT Code: `71046`	—	$26	$93	0.3×
X-ray, chest (single view) CPT Code: `71045`	—	$23	$92	0.3×
Group therapy session CPT Code: `90853`	$24	$24	$100	0.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$49	$49	$20	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$49	$49	$35	unverified
X-ray, ankle CPT Code: `73610`	$215	$22	$93	0.2×
X-ray, pelvis CPT Code: `72170`	$135	$25	$110	0.2×
X-ray, lower back CPT Code: `72110`	—	$25	$112	0.2×
Psychological testing evaluation CPT Code: `96136`	$219	$23	$128	0.2×
Blood test, basic metabolic panel CPT Code: `80048`	—	—	$9	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$11	unverified
Blood test, amylase CPT Code: `82150`	$34	$14	$7	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$5	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$10	—
Blood test, magnesium CPT Code: `83735`	$32	$14	$7	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	—	—	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$28	$9	$5	unverified

Showing top 25 high-impact procedures of 123 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 29.1%

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

CMS CCN: 130007

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $53,521

Insurer Median $84,412

1. Amount on Your Bill or Quote ($) Pre-filled with Saint Alphonsus Regional Medical Center’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: $58,872 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $58,872

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (29.1% of gross = $58,872).

Step 2 · Cash vs. Insurance Arbitrage Save $149,068 Paying Cash

Self-Pay Cash Rate ($53,521) Beats Your Bill

Saint Alphonsus Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $53,521 (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: 820200895

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 (29.1% 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 Overall3/5 Stars (3/5)

Safety Composite68/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)76%

Median ER Wait160 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionbetter

Hip/Knee Complication Rate4.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (945 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 Quality & Price Benchmark Pareto Frontier (Price + Quality)

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

Price Index: 0.93× regional baseline

Quality: 66/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Centurion of Idaho

-50.3%

Priority Health

+101.8%

Median Household Income$88,907U.S. Census ACS

Local Uninsured Share6.7%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 59/100 · Caution CMS CCN 130007 EIN 820200895

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 130007) ↗ Verify IRS Form 990 (EIN 820200895) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows45,806 (CMS v3.0.0)

File Integrity DigestVerified · CCN 130007

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