CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,486
Cash Discount Price: $2,869
vs. Medicare Baseline: 8.29x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Eastern Idaho Regional Medical Center is $1,486. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,869. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 8.29x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$2,869

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,486

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: $2,869 (1601%)

Insurance Median: $1,486 (829%)

Cash: $2,869 (1601% of Medicare)

Ins. Median: $1,486 (829% 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 829% of the Medicare baseline (a markup of 729%). 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	$43 - $2,725	24%
Molina	$43 - $74	24%
Interwest Health	$253 - $2,582	141%
Regence	$376	210%
United	$402 - $1,658	224%
Select Health	$869	485%
Select Health Ichn Brightpath	$869 - $970	485%
Select Health Idaho (Eirmc Only)	$915	511%
Aetna	$1,130 - $1,397	631%
Doug Andrus Distributing	$1,148	641%
University Of Utah	$1,205	672%
Mountain Health Co-Op	$1,434 - $2,152	800%
Pacificsource Health	$1,538	858%
Cigna	$1,578	881%
First Choice Health Of Washington	$1,721	960%
Moda	$1,787	997%
Dmba	$1,848	1031%
Prime Health	$2,152 - $2,439	1201%
Geha Ppo Usa	$2,295	1281%
Humana	$2,410	1345%
Multiplan	$2,410 - $2,582	1345%
First Choice Of The Midwest	$2,582	1441%
St. John'S Health Network	$2,582	1441%
Coventry First Health	$2,611	1457%
Shashone-Bannock Tribal Health	$2,869	1601%

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 $2,869.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.