CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,910
Cash Discount Price: $3,687
vs. Medicare Baseline: 10.66x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Eastern Idaho Regional Medical Center is $1,910. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,687. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.66x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$3,687

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,910

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $3,687 (2057%)

Insurance Median: $1,910 (1066%)

Cash: $3,687 (2057% of Medicare)

Ins. Median: $1,910 (1066% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 1066% of the Medicare baseline (a markup of 966%). 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	$48 - $3,503	27%
Molina	$48 - $88	27%
Interwest Health	$253 - $3,319	141%
Regence	$376	210%
United	$402 - $2,131	224%
Select Health	$1,117	623%
Select Health Ichn Brightpath	$1,117 - $1,246	623%
Select Health Idaho (Eirmc Only)	$1,176	656%
Aetna	$1,453 - $1,796	811%
Doug Andrus Distributing	$1,475	823%
University Of Utah	$1,549	864%
Mountain Health Co-Op	$1,844 - $2,766	1029%
Pacificsource Health	$1,976	1103%
Cigna	$2,028	1132%
First Choice Health Of Washington	$2,212	1234%
Moda	$2,297	1282%
Dmba	$2,375	1325%
Prime Health	$2,766 - $3,134	1544%
Geha Ppo Usa	$2,950	1646%
Humana	$3,097	1728%
Multiplan	$3,097 - $3,319	1728%
First Choice Of The Midwest	$3,319	1852%
St. John'S Health Network	$3,319	1852%
Coventry First Health	$3,356	1873%
Shashone-Bannock Tribal Health	$3,687	2057%

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 $3,687.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.