Supplies, drugs & other prices at Saint Alphonsus Regional Medical Center
Boise, ID · every code in this section with a posted price and a Medicare benchmark.
95 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $2,115.75 | $3,255 | 2.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,122.55 | $1,727 | 3.0× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) | $6,902.35 | $10,619 | 1.6× |
| Adm tocilizu covid-19 1st (M0249) | $694.85 | $1,069 | 1.5× |
| Adm tocilizu covid-19 2nd (M0250) | $694.85 | $1,069 | 1.5× |
| Admin hepatitis b vaccine (G0010) | $223.60 | — | 4.4× |
| Admin influenza virus vac (G0008) | $211.25 | — | 4.2× |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$29.25–$505.70 | — | varies |
| Ascvd rsk mng clin stf pr mo (G0538) | $70.20 | $108 | 0.6× |
| Behavior counsel obesity 15m (G0447) | $124.80 | — | 1.1× |
| Ca screen;flexi sigmoidscope (G0104) | $1,913.27 | — | 1.9× |
| Ca screen;pelvic/breast exam (G0101) | $70.20 | $108 | 0.6× |
| Catheterize for urine spec (P9612) | $20.80 | $32 | 2.2× |
| Chemo extend iv infus w/pump (G0498) | $692.90 | $1,066 | 1.9× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$2,859.74–$2,863.77 | — | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$2,756.29–$2,890.22 | — | varies |
| Depression screen annual (G0444) range across 2 matching MRF lines |
$148.85–$417.95 | — | varies |
| Direct refer hospital observ (G0379) | $271.05 | $417 | 0.4× |
| Drug test def 1-7 classes (G0480) | $463.45 | — | 4.1× |
| Ekg tracing for initial prev (G0404) | $70.85 | $109 | 2.3× |
| Elec stim other than wound (G0283) | $58.50 | $90 | 4.6× |
| Fecal blood scrn immunoassay (G0328) | $111.15 | $171 | 6.2× |
| Fecal microbiota prep instil (G0455) | $4,238 | $6,520 | 4.2× |
| Hbot, full body chamber, 30m (G0277) | $1,726.40 | — | 11.6× |
| Hep c screen high risk/other (G0472) range across 2 matching MRF lines |
$62.40–$76.05 | $96–$117 | varies |
| Hepb screen high risk indiv (G0499) | $91 | $140 | 3.2× |
| Hiv combination assay (G0475) range across 2 matching MRF lines |
$79.95–$96.85 | $123–$149 | varies |
| Home sleep test/type 2 porta (G0398) | $534.95 | $823 | 2.3× |
| Home sleep test/type 3 porta (G0399) | $504.40 | $776 | 2.2× |
| Hopd mntl hlt, 15-29 min (C7900) | $133.90 | $206 | 3.3× |
| Hopd mntl hlt, 30-60 min (C7901) | $267.80 | $412 | 2.4× |
| Hospital outpt clinic visit (G0463) range across 8 matching MRF lines |
$102.05–$15,988.31 | — | varies |
| Init/sub psych care m 1st 30 (G2214) | $70.20 | $108 | 0.6× |
| Initial preventive exam (G0402) | $293.15 | — | 2.0× |
| Inj for sacroiliac jt anesth (G0260) range across 9 matching MRF lines |
$1,577.55–$2,366.65 | $2,427–$3,641 | varies |
| Injection of hiv prep drug (G0012) | $57.85 | $89 | 0.7× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $4,579.90 | $7,046 | 0.5× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) unusually low: confirm this is the full procedure |
$11,743.55 | $18,067 | 0.3× |
| Intens behave ther cardio dx (G0446) | $22.75 | $35 | 0.6× |
| Intens cardiac rehab no exer (G0423) | $239.20 | $368 | 1.7× |
| Intens cardiac rehab w/exerc (G0422) | $250.90 | $386 | 1.8× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $799.50 | — | 1.6× |
| Mnt subs tx for change dx (G0270) | $46.80 | $72 | 1.5× |
| Mra w/cont, chest (C8909) | $1,453.40 | $2,236 | 3.9× |
| Mra w/o cont, abd (C8901) | $1,571.70 | $2,418 | 6.1× |
| Mra w/o cont, chest (C8910) | $1,080.95 | $1,663 | 4.2× |
| Mra w/o fol w/cont, abd (C8902) | $2,262 | $3,480 | 6.0× |
| Mra w/o fol w/cont, chest (C8911) | $1,598.35 | $2,459 | 4.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,096.55 | $1,687 | 2.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,223.65 | $3,421 | 5.9× |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,929.20 | $2,968 | 5.1× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,096.55 | $1,687 | 2.9× |
| Mri w/o fol w/cont, breast, (C8908) range across 4 matching MRF lines |
$2,778.75–$2,826.20 | $4,275–$4,348 | varies |
| Mri w/o fol w/cont, brst, un (C8905) | $1,883.70 | $2,898 | 5.0× |
| Neuro csf prion prtn qual (0035U) | $410.15 | $631 | 0.8× |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$326.30–$421.85 | — | varies |
| Obtaining screen pap smear (Q0091) | $372.45 | — | 11.9× |
| Oth resp proc, group (G0239) | $76.70 | $118 | 1.9× |
| Perc d-e cor revasc chro sin (C9607) | $17,332.90 | $26,666 | 0.9× |
| Perc d-e cor revasc t cabg s (C9604) | $14,084.85 | $21,669 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $14,084.85 | $21,669 | 0.7× |
| Perc drug-el cor stent sing (C9600) | $17,041.70 | $26,218 | 1.4× |
| Perq Sacral Augmt Bilat Inj (0201T) | $10,073.05 | $15,497 | 1.3× |
| Perq Sacral Augmt Unilat Inj (0200T) | $6,100.90 | $9,386 | 0.8× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $9,687.60 | $14,904 | 0.8× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $73.45 | $113 | 1.8× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $74.75 | $115 | 1.9× |
| Prolonged iv inf, req pump (C8957) | $657.15 | $1,011 | 2.9× |
| Psa screening (G0103) | $49.40 | $76 | 2.6× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $1,334.45 | $2,053 | 1.3× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $309.40 | $476 | 0.4× |
| Relocation pg wcs lv pacg battery component only (0862T) | $3,306.55 | $5,087 | 1.5× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $3,306.55 | $5,087 | 1.5× |
| Removal pg wcs lv pacing both components (0861T) | $3,999.45 | $6,153 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $10,993.45 | $16,913 | 0.6× |
| Revasc intravasc lithotripsy (C9764) | $17,540.25 | $26,985 | 1.4× |
| Revasc lithotrip-stent-ather (C9767) likely a partial charge, not the full procedure |
$5,677.75 | $8,735 | 0.3× |
| Risk ascvd tst once pr 12 mo (G0537) | $24.05 | $37 | 0.6× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $15,148.25 | $23,305 | 0.7× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $22,722.70 | $34,958 | 1.1× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $3,363.75 | $5,175 | 1.0× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) unusually low: confirm this is the full procedure |
$9,243.65 | $14,221 | 0.4× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $22,722.70 | $34,958 | 1.1× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$39–$58.50 | $60–$90 | varies |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$10,328.50–$12,910.30 | $15,890–$19,862 | varies |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$251.55–$297.05 | — | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $11,488.10 | $17,674 | 0.6× |
| Tte w or w/o contr, cont ecg (C8930) | $2,603.90 | $4,006 | 3.1× |
| Tte w or w/o fol w/con,stres (C8928) | $1,673.10 | $2,574 | 2.0× |
| Tte w or w/o fol w/cont, com (C8921) | $1,539.85 | $2,369 | 1.8× |
| Tte w or wo fol wcon,doppler (C8929) | $2,157.35 | $3,319 | 2.5× |
| Unsched dialysis esrd pt hos (G0257) | $874.25 | $1,345 | 1.2× |
| Ven blood coll snf/hha (G0471) | $7.15 | $11 | 0.6× |
| Visit to determ ldct elig (G0296) | $58.50 | $90 | 0.5× |
| Wet mounts/ w preparations (Q0111) | $42.25 | $65 | 2.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.