CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Eastern Idaho Regional Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,792
Cash Discount Price: $3,026
vs. Medicare Baseline: 7.35x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Eastern Idaho Regional Medical Center is $1,792. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,026. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.35x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$3,026

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,792

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: $3,026 (1241%)

Insurance Median: $1,792 (735%)

Cash: $3,026 (1241% of Medicare)

Ins. Median: $1,792 (735% 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 735% of the Medicare baseline (a markup of 635%). 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	$51 - $3,450	21%
Molina	$51 - $108	21%
Interwest Health	$343 - $3,268	141%
Regence	$502	206%
United	$518 - $2,099	212%
Select Health	$733 - $1,100	301%
Select Health Ichn Brightpath	$733 - $1,227	301%
Select Health Idaho (Eirmc Only)	$772 - $1,158	317%
Aetna	$953 - $1,768	391%
Doug Andrus Distributing	$968 - $1,452	397%
University Of Utah	$1,016 - $1,525	417%
Mountain Health Co-Op	$1,210 - $2,723	496%
Pacificsource Health	$1,297 - $1,946	532%
Cigna	$1,331 - $1,997	546%
First Choice Health Of Washington	$1,452 - $2,179	596%
Moda	$1,508 - $2,262	619%
Dmba	$1,558 - $2,339	639%
Prime Health	$1,815 - $3,087	745%
Geha Ppo Usa	$1,936 - $2,905	794%
Humana	$2,033 - $3,050	834%
Multiplan	$2,033 - $3,268	834%
First Choice Of The Midwest	$2,178 - $3,268	893%
St. John'S Health Network	$2,178 - $3,268	893%
Coventry First Health	$2,202 - $3,304	903%
Shashone-Bannock Tribal Health	$2,420 - $3,631	993%

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 $3,026.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

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 73721.
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.