St Luke's Nampa Medical Center
9850 West St Lukes Drive, Nampa, ID 83687 · 121 Priced Procedures · 81% Patient Recommendation
Typical commercial prices here are +32% above the fair benchmark (1.32×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.32× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
St Luke's Nampa Medical Center prices routine shoppable procedures at 1.8× Medicare (median 1.14× Fair BaseRate) while upper-quartile commercial rates jump +77% to 2.02× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 20% of shoppable procedures (25/100 Cash Honesty)
- 5-Star CMS clinical rating with 81% patient recommendation (76/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (65.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.32× 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.
- Commercial insurance median sits at 1.14× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.02×) jump +77% above the median procedure ratio (Q50 1.14×)
- Consolidated metro market (HHI 2,410) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at St Luke's Nampa Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $45,248 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $42,578 | unverified |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $27,942 | 0.9× |
| Total knee replacement CPT Code: 27447 | $23,834 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $17,270 | 0.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $16,933 | unverified |
| Total hip replacement CPT Code: 27130 | $15,889 | 1.2× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $14,819 | unverified |
| Breast lump removal CPT Code: 19120 | $9,726 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $6,746 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $4,477 | 13.9× |
| Trauma team activation HCPCS Code: G0390 | $3,414 | 2.3× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,159 | 0.9× |
| Bunion correction surgery CPT Code: 28296 | $3,159 | 0.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,625 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $2,462 | 1.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,415 | 2.4× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,228 | 1.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,185 | 1.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,060 | 1.1× |
| Psychological testing by technician CPT Code: 96138 | $1,030 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $921 | 2.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $921 | 1.8× |
| Blood transfusion CPT Code: 36430 | $874 | 1.8× |
| Neurobehavioral status check CPT Code: 96116 | $803 | unverified |
Audit a Bill or Quote at St Luke's Nampa Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $63,807
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (65.0% of gross = $63,807).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
St Luke's Nampa Medical Center's published 45 CFR § 180 self-pay cash rate is $98,164 (vs. $45,248 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)
Your bill ($98,164) is $80,228 above the denoised Fair BaseRate ($17,936) and 7.7× the $12,807 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (65.0% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (560 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Luke's Nampa Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.