CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,114
Cash Discount Price: $2,151
vs. Medicare Baseline: 10.43x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Eastern Idaho Regional Medical Center is $1,114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,151. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.43x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$2,151

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,114

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: $2,151 (2014%)

Insurance Median: $1,114 (1043%)

Cash: $2,151 (2014% of Medicare)

Ins. Median: $1,114 (1043% 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 1043% of the Medicare baseline (a markup of 943%). 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	$38 - $2,043	36%
Molina	$38 - $65	36%
Interwest Health	$151 - $1,936	141%
Regence	$225	211%
United	$245 - $1,243	229%
Select Health	$652	610%
Select Health Ichn Brightpath	$652 - $727	610%
Select Health Idaho (Eirmc Only)	$686	642%
Aetna	$848 - $1,048	794%
Doug Andrus Distributing	$860	805%
University Of Utah	$903	845%
Mountain Health Co-Op	$1,076 - $1,613	1007%
Pacificsource Health	$1,153	1079%
Cigna	$1,183	1108%
First Choice Health Of Washington	$1,291	1209%
Moda	$1,340	1255%
Dmba	$1,385	1297%
Prime Health	$1,613 - $1,828	1510%
Geha Ppo Usa	$1,721	1611%
Humana	$1,807	1692%
Multiplan	$1,807 - $1,936	1692%
First Choice Of The Midwest	$1,936	1813%
St. John'S Health Network	$1,936	1813%
Coventry First Health	$1,957	1832%
Shashone-Bannock Tribal Health	$2,151	2014%

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 $2,151.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72125.

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 72125.
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.