Idaho / Saint Alphonsus Medical Center - Nampa

CMS certification 130013 · Nampa, ID · 1 entry in CMS's price-transparency list

Saint Alphonsus Medical Center - Nampa: charges and Medicare payments

Saint Alphonsus Medical Center - Nampa reported 680 Medicare inpatient stays across 32 DRGs in 2024. Across them it charged 4.46 times what it was paid — mid-range in Idaho, number 5 of 13 hospitals with at least 100 stays (state median 4.16×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 137 stays at an average charge of $65,326, 28% below the national average. It also billed 850 outpatient services, charging 4.53 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 680
  2. 2Charge ÷ paid, inpatient 4.46×
  3. 3Rank in ID (highest ratio = 1) 5 of 13
  4. 4CMS price-transparency actions 1
DRG 871$65,326DRG 291$60,562DRG 872$43,110DRG 189$60,749DRG 309$37,529DRG 853$133,152DRG 193$41,920DRG 470$62,003DRG 641$30,868DRG 177$60,868
Average charge per stay at Saint Alphonsus Medical Center - Nampa, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 32 DRGs that can be compared with the national average, Saint Alphonsus Medical Center - Nampa charged more than the national average in 7 (22%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC137$65,326-28%$16,091
291 Heart Failure and Shock with MCC51$60,562+7%$11,317
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC39$43,110-12%$9,365
189 Pulmonary Edema and Respiratory Failure26$60,749+6%$11,397
309 Cardiac Arrhythmia and Conduction Disorders with CC26$37,529+4%$7,226
853 Infectious and Parasitic Diseases with O.R. Procedures with...23$133,152-42%$34,319
193 Simple Pneumonia and Pleurisy with MCC20$41,920-30%$13,737
470 Major Hip and Knee Joint Replacement or Reattachment of...20$62,003-33%$15,269
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...20$30,868-17%$7,224
177 Respiratory Infections and Inflammations with MCC18$60,868-14%$13,575
481 Hip and Femur Procedures except Major Joint with CC18$63,562-37%$16,046
312 Syncope and Collapse17$41,209-10%$7,828
280 Acute Myocardial Infarction, Discharged Alive with MCC16$101,849+34%$15,613
378 Gastrointestinal Hemorrhage with CC16$42,024-13%$10,958
690 Kidney and Urinary Tract Infections without MCC16$35,311-7%$7,383
698 Other Kidney and Urinary Tract Diagnoses with MCC16$97,258+32%$16,285
418 Laparoscopic Cholecystectomy without C.D.E. with CC14$49,201-47%$13,497
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...14$57,835-4%$11,024
682 Renal Failure with MCC14$48,537-26%$14,533
683 Renal Failure with CC14$38,593-5%$7,710
190 Chronic Obstructive Pulmonary Disease with MCC13$47,427-6%$9,601
281 Acute Myocardial Infarction, Discharged Alive with CC13$47,560-6%$10,010
305 Hypertension without MCC13$34,736-13%$8,448
389 Gastrointestinal Obstruction with CC13$26,001-33%$7,809
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...12$43,339-22%$9,775
308 Cardiac Arrhythmia and Conduction Disorders with MCC12$54,756-3%$10,183
377 Gastrointestinal Hemorrhage with MCC12$71,843-16%$15,031
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...12$74,972+23%$12,234
689 Kidney and Urinary Tract Infections with MCC12$57,271+12%$11,023
064 Intracranial Hemorrhage or Cerebral Infarction with MCC11$80,789-19%$19,945
322 Percutaneous Cardiovascular Procedures with Intraluminal...11$95,527-17%$20,151
536 Fractures of Hip and Pelvis without MCC11$21,620-43%$6,987

Outpatient services

Against the Idaho average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Alphonsus Medical Center - Nampa charged $65,326 on average, 0% less than the Idaho average of $65,631, and was paid $16,091 against a state average of $16,189. For Heart Failure and Shock with MCC (DRG 291), Saint Alphonsus Medical Center - Nampa charged $60,562 on average, 29% more than the Idaho average of $47,013, and was paid $11,317 against a state average of $10,637. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Saint Alphonsus Medical Center - Nampa charged $43,110 on average, 5% more than the Idaho average of $41,154, and was paid $9,365 against a state average of $9,365. For Pulmonary Edema and Respiratory Failure (DRG 189), Saint Alphonsus Medical Center - Nampa charged $60,749 on average, 40% more than the Idaho average of $43,340, and was paid $11,397 against a state average of $10,491. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $6,013 was 32% below the state average of $8,830. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,079 was 26% below the state average of $8,252. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $42,631 was 17% below the state average of $51,453. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $9,448 was 34% below the state average of $14,294.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Saint Alphonsus Medical Center - Nampa in Nampa, ID, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.