CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,238
Cash Discount Price: $2,389
vs. Medicare Baseline: 11.59x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Eastern Idaho Regional Medical Center is $1,238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,389. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.59x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$2,389

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,238

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,389 (2237%)

Insurance Median: $1,238 (1159%)

Cash: $2,389 (2237% of Medicare)

Ins. Median: $1,238 (1159% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1159% of the Medicare baseline (a markup of 1059%). 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	$32 - $2,270	30%
Molina	$32 - $52	30%
Interwest Health	$151 - $2,151	141%
Regence	$225	211%
United	$245 - $1,381	229%
Select Health	$724	678%
Select Health Ichn Brightpath	$724 - $808	678%
Select Health Idaho (Eirmc Only)	$762	713%
Aetna	$941 - $1,164	881%
Doug Andrus Distributing	$956	895%
University Of Utah	$1,004	940%
Mountain Health Co-Op	$1,195 - $1,792	1119%
Pacificsource Health	$1,281	1199%
Cigna	$1,314	1230%
First Choice Health Of Washington	$1,434	1343%
Moda	$1,489	1394%
Dmba	$1,539	1441%
Prime Health	$1,792 - $2,031	1678%
Geha Ppo Usa	$1,912	1790%
Humana	$2,007	1879%
Multiplan	$2,007 - $2,151	1879%
First Choice Of The Midwest	$2,151	2014%
St. John'S Health Network	$2,151	2014%
Coventry First Health	$2,174	2035%
Shashone-Bannock Tribal Health	$2,389	2237%

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 $2,389.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

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 70450.
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.