CMS Price Transparency Data

CT scan, sinuses

Facility: Eastern Idaho Regional Medical Center

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,564
Cash Discount Price: $3,019
vs. Medicare Baseline: 14.64x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Eastern Idaho Regional Medical Center is $1,564. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,019. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.64x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$3,019

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,564

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: $3,019 (2827%)

Insurance Median: $1,564 (1464%)

Cash: $3,019 (2827% of Medicare)

Ins. Median: $1,564 (1464% 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 1464% of the Medicare baseline (a markup of 1364%). 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 - $2,868	30%
Molina	$32 - $68	30%
Interwest Health	$151 - $2,717	141%
Regence	$225	211%
United	$245 - $1,745	229%
Select Health	$915	857%
Select Health Ichn Brightpath	$915 - $1,020	857%
Select Health Idaho (Eirmc Only)	$963	902%
Aetna	$1,189 - $1,470	1113%
Doug Andrus Distributing	$1,208	1131%
University Of Utah	$1,268	1187%
Mountain Health Co-Op	$1,509 - $2,264	1413%
Pacificsource Health	$1,618	1515%
Cigna	$1,660	1554%
First Choice Health Of Washington	$1,811	1696%
Moda	$1,881	1761%
Dmba	$1,944	1820%
Prime Health	$2,264 - $2,566	2120%
Geha Ppo Usa	$2,415	2261%
Humana	$2,536	2374%
Multiplan	$2,536 - $2,717	2374%
First Choice Of The Midwest	$2,717	2544%
St. John'S Health Network	$2,717	2544%
Coventry First Health	$2,747	2572%
Shashone-Bannock Tribal Health	$3,019	2827%

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 $3,019.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

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 70486.
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.