CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $218
Cash Discount Price: $443
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Eastern Idaho Regional Medical Center is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $443. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.39x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$443

Average discount available for prompt cash payment at this facility.

Insurance Median

$218

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)

Cash / Self-Pay: $443 (282%)

Insurance Median: $218 (139%)

Cash: $443 (282% of Medicare)

Ins. Median: $218 (139% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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.

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 - $421	24%
Molina	$38 - $101	24%
Prime Health	$101 - $376	64%
Regence Blue Shield	$101	64%
Rexburg Care And Rehab	$101	64%
Triwest Healthcare Alliance	$101	64%
Veteran'S Administration	$101	64%
Humana	$103 - $372	66%
United	$103 - $263	66%
Select Health	$134	85%
Select Health Ichn Brightpath	$134 - $150	85%
Select Health Idaho (Eirmc Only)	$141	90%
Regence	$168	107%
Aetna	$174 - $216	111%
Doug Andrus Distributing	$177	113%
Pacificsource Health	$186 - $237	118%
University Of Utah	$186	118%
Mountain Health Co-Op	$221 - $332	141%
Cigna	$243	155%
First Choice Health Of Washington	$266	169%
Moda	$276	176%
Dmba	$285	182%
Geha Ppo Usa	$354	226%
Multiplan	$372 - $398	237%
First Choice Of The Midwest	$398	254%
Interwest Health	$398	254%
St. John'S Health Network	$398	254%
Coventry First Health	$403	257%
Shashone-Bannock Tribal Health	$443	282%

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 $443.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

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 77066.
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.