CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,813
Cash Discount Price: $3,501
vs. Medicare Baseline: 5.09x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Eastern Idaho Regional Medical Center is $1,813. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,501. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.09x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$3,501

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,813

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $3,501 (982%)

Insurance Median: $1,813 (509%)

Cash: $3,501 (982% of Medicare)

Ins. Median: $1,813 (509% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 509% of the Medicare baseline (a markup of 409%). 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	$69 - $3,326	19%
Molina	$69 - $167	19%
Interwest Health	$507 - $3,151	142%
Regence	$788	221%
United	$828 - $2,023	232%
Select Health	$1,061	298%
Select Health Ichn Brightpath	$1,061 - $1,183	298%
Select Health Idaho (Eirmc Only)	$1,117	313%
Aetna	$1,379 - $1,705	387%
Doug Andrus Distributing	$1,400	393%
University Of Utah	$1,470	412%
Mountain Health Co-Op	$1,750 - $2,625	491%
Pacificsource Health	$1,876	526%
Cigna	$1,925	540%
First Choice Health Of Washington	$2,100	589%
Moda	$2,181	612%
Dmba	$2,254	632%
Prime Health	$2,625 - $2,976	736%
Geha Ppo Usa	$2,800	786%
Humana	$2,941	825%
Multiplan	$2,941 - $3,151	825%
First Choice Of The Midwest	$3,151	884%
St. John'S Health Network	$3,151	884%
Coventry First Health	$3,186	894%
Shashone-Bannock Tribal Health	$3,501	982%

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 $3,501.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.