CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $1,662
Cash Discount Price: $2,968
vs. Medicare Baseline: 6.82x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Eastern Idaho Regional Medical Center is $1,662. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,968. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.82x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$2,968

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,662

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $2,968 (1218%)

Insurance Median: $1,662 (682%)

Cash: $2,968 (1218% of Medicare)

Ins. Median: $1,662 (682% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 682% of the Medicare baseline (a markup of 582%). 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	$56 - $3,760	23%
Molina	$56 - $99	23%
Interwest Health	$343 - $3,562	141%
Regence	$502	206%
United	$518 - $2,288	212%
Select Health	$600 - $1,199	246%
Select Health Ichn Brightpath	$600 - $1,338	246%
Select Health Idaho (Eirmc Only)	$631 - $1,263	259%
Aetna	$780 - $1,927	320%
Doug Andrus Distributing	$792 - $1,583	325%
University Of Utah	$831 - $1,662	341%
Mountain Health Co-Op	$989 - $2,968	406%
Pacificsource Health	$1,061 - $2,121	435%
Cigna	$1,088 - $2,177	446%
First Choice Health Of Washington	$1,187 - $2,375	487%
Moda	$1,233 - $2,466	506%
Dmba	$1,274 - $2,549	523%
Prime Health	$1,484 - $3,364	609%
Geha Ppo Usa	$1,583 - $3,166	649%
Humana	$1,662 - $3,325	682%
Multiplan	$1,662 - $3,562	682%
First Choice Of The Midwest	$1,781 - $3,562	731%
St. John'S Health Network	$1,781 - $3,562	731%
Coventry First Health	$1,801 - $3,602	739%
Shashone-Bannock Tribal Health	$1,979 - $3,958	812%

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 $2,968.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

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 70551.
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.