CMS Price Transparency Data

Family therapy session

Facility: Eastern Idaho Regional Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $415
Cash Discount Price: $727
vs. Medicare Baseline: 2.29x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Eastern Idaho Regional Medical Center is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $727. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.29x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$727

Average discount available for prompt cash payment at this facility.

Insurance Median

$415

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $727 (401%)

Insurance Median: $415 (229%)

Cash: $727 (401% of Medicare)

Ins. Median: $415 (229% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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 229% of the Medicare baseline (a markup of 129%). 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	$87 - $691	48%
Molina	$87	48%
Select Health	$220	121%
Select Health Ichn Brightpath	$220 - $246	121%
Interwest Health	$228 - $654	126%
Select Health Idaho (Eirmc Only)	$232	128%
Aetna	$286 - $354	158%
Doug Andrus Distributing	$291	160%
Pacificsource Health	$305 - $390	168%
University Of Utah	$305	168%
Mountain Health Co-Op	$364 - $545	201%
Cigna	$400	221%
Regence	$415	229%
United	$420	232%
First Choice Health Of Washington	$436	240%
Moda	$453	250%
Dmba	$468	258%
Prime Health	$545 - $618	301%
Geha Ppo Usa	$582	321%
Humana	$611	337%
Multiplan	$611 - $654	337%
First Choice Of The Midwest	$654	361%
St. John'S Health Network	$654	361%
Coventry First Health	$662	365%
Shashone-Bannock Tribal Health	$727	401%

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 $727.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

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 90847.
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.