CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $1,338
  • Cash Discount Price: $2,358
  • vs. Medicare Baseline: 5.49x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Eastern Idaho Regional Medical Center is $1,338. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,358. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.49x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.
Cash / Self-Pay
$2,358

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,338

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: $2,358 (967%)
Insurance Median: $1,338 (549%)
Cash: $2,358 (967% of Medicare)
Ins. Median: $1,338 (549% 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 549% of the Medicare baseline (a markup of 449%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $2,576 23%
Molina $56 - $94 23%
Interwest Health $343 - $2,440 141%
Regence $502 206%
United $518 - $1,567 212%
Select Health $607 - $822 249%
Select Health Ichn Brightpath $607 - $917 249%
Select Health Idaho (Eirmc Only) $639 - $865 262%
Aetna $789 - $1,321 324%
Doug Andrus Distributing $802 - $1,085 329%
University Of Utah $842 - $1,139 345%
Mountain Health Co-Op $1,002 - $2,034 411%
Pacificsource Health $1,074 - $1,453 441%
Cigna $1,102 - $1,491 452%
First Choice Health Of Washington $1,202 - $1,627 493%
Moda $1,248 - $1,689 512%
Dmba $1,290 - $1,746 529%
Prime Health $1,503 - $2,305 617%
Geha Ppo Usa $1,603 - $2,169 658%
Humana $1,683 - $2,278 690%
Multiplan $1,683 - $2,440 690%
First Choice Of The Midwest $1,803 - $2,440 740%
St. John'S Health Network $1,803 - $2,440 740%
Coventry First Health $1,823 - $2,468 748%
Shashone-Bannock Tribal Health $2,004 - $2,712 822%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Channing Way, Idaho Falls, ID 83404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals