Saint Alphonsus Regional Medical Center
Saint Alphonsus Regional Medical Center in Boise, Idaho charges 4.9x the Medicare reimbursement rate across 96 analyzed procedures at this nonprofit religious hospital.
Boise, ID 83706 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
C
Average
Avg markup vs Medicare
4.88x
Charge / Medicare rate
Max markup
10.03x
Worst procedure
Procedures analyzed
96
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| DIABETES WITH CC | 638 | $62,419 | $31,209 | — | 10x |
| RENAL FAILURE WITH MCC | 682 | $84,586 | $42,293 | — | 8.1x |
| SYNCOPE AND COLLAPSE | 312 | $45,928 | $22,964 | — | 7.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $50,043 | $25,021 | — | 6.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $48,155 | $24,077 | — | 6.6x |
| PSYCHOSES | 885 | $67,938 | $33,969 | — | 6.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $34,309 | $17,154 | — | 6.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $78,050 | $39,025 | — | 6.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $29,644 | $14,822 | — | 6x |
| HYPERTENSION WITHOUT MCC | 305 | $27,906 | $13,953 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $41,835 | $20,918 | — | 5.9x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $34,013 | $17,007 | — | 5.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $77,878 | $38,939 | — | 5.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $171,347 | $85,674 | — | 5.7x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $29,506 | $14,753 | — | 5.7x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $55,137 | $27,569 | — | 5.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $59,982 | $29,991 | — | 5.6x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $139,340 | $69,670 | — | 5.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $20,020 | $10,010 | — | 5.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $54,347 | $27,173 | — | 5.6x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $92,240 | $46,120 | — | 5.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $41,522 | $20,761 | — | 5.5x |
| CHEST PAIN | 313 | $28,670 | $14,335 | — | 5.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $37,767 | $18,884 | — | 5.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $38,136 | $19,068 | — | 5.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $70,883 | $35,442 | — | 5.5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $30,777 | $15,389 | — | 5.4x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $55,625 | $27,812 | — | 5.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $63,814 | $31,907 | — | 5.4x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $69,231 | $34,615 | — | 5.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $119,199 | $59,600 | — | 5.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $34,973 | $17,486 | — | 5.3x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $46,964 | $23,482 | — | 5.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $62,770 | $31,385 | — | 5.2x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | 896 | $71,324 | $35,662 | — | 5.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $46,640 | $23,320 | — | 5.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $27,108 | $13,554 | — | 5.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $29,892 | $14,946 | — | 5.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $80,160 | $40,080 | — | 5.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $106,128 | $53,064 | — | 5.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $27,630 | $13,815 | — | 5.1x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $27,958 | $13,979 | — | 5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $71,332 | $35,666 | — | 5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $43,384 | $21,692 | — | 5x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $47,078 | $23,539 | — | 5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $52,906 | $26,453 | — | 4.9x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $183,399 | $91,699 | — | 4.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $68,186 | $34,093 | — | 4.9x |
| CELLULITIS WITHOUT MCC | 603 | $27,555 | $13,777 | — | 4.9x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $75,399 | $37,700 | — | 4.8x |
Showing 50 of 96 procedures
How SAINT ALPHONSUS REGIONAL MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — nonprofit-religious hospital billing
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use