CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,675
Cash Discount Price: $3,233
vs. Medicare Baseline: 6.87x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Eastern Idaho Regional Medical Center is $1,675. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,233. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.87x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$3,233

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,675

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $3,233 (1326%)

Insurance Median: $1,675 (687%)

Cash: $3,233 (1326% of Medicare)

Ins. Median: $1,675 (687% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 687% of the Medicare baseline (a markup of 587%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$66 - $3,071	27%
Molina	$66 - $79	27%
Interwest Health	$343 - $2,909	141%
Regence	$502	206%
United	$518 - $1,868	212%
Select Health	$980	402%
Select Health Ichn Brightpath	$980 - $1,093	402%
Select Health Idaho (Eirmc Only)	$1,031	423%
Aetna	$1,274 - $1,574	523%
Doug Andrus Distributing	$1,293	530%
University Of Utah	$1,358	557%
Mountain Health Co-Op	$1,616 - $2,425	663%
Pacificsource Health	$1,733	711%
Cigna	$1,778	729%
First Choice Health Of Washington	$1,940	796%
Moda	$2,014	826%
Dmba	$2,082	854%
Prime Health	$2,425 - $2,748	995%
Geha Ppo Usa	$2,586	1061%
Humana	$2,715	1114%
Multiplan	$2,715 - $2,909	1114%
First Choice Of The Midwest	$2,909	1193%
St. John'S Health Network	$2,909	1193%
Coventry First Health	$2,942	1207%
Shashone-Bannock Tribal Health	$3,233	1326%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,233.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Eastern Idaho Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.