CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $47
Cash Discount Price: $87
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Eastern Idaho Regional Medical Center is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$87

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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
Molina	$19	N/A
Blue Cross Blue Shield	$19 - $83	N/A
Regence	$19	N/A
Cigna	$25	N/A
Select Health	$26	N/A
Select Health Ichn Brightpath	$26 - $29	N/A
Select Health Idaho (Eirmc Only)	$28	N/A
Aetna	$34 - $42	N/A
Doug Andrus Distributing	$35	N/A
Pacificsource Health	$37 - $47	N/A
University of Utah	$37	N/A
United	$38 - $50	N/A
Mountain Health Co-Op	$44 - $65	N/A
First Choice Health of Washington	$52	N/A
Moda	$54	N/A
Dmba	$56	N/A
Prime Health	$65 - $74	N/A
Geha PPO USA	$70	N/A
Multiplan	$73 - $78	N/A
Humana	$73	N/A
Interwest Health	$78	N/A
St. John's Health Network	$78	N/A
First Choice of the Midwest	$78	N/A
Coventry First Health	$79	N/A
Shashone-Bannock Tribal Health	$87	N/A

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 $87.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

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 HCPCS code 90656.
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.