CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $144
  • Cash Discount Price: $261
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Eastern Idaho Regional Medical Center is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $261. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.14x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.
Cash / Self-Pay
$261

Average discount available for prompt cash payment at this facility.

Insurance Median
$144

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $261 (207%)
Insurance Median: $144 (114%)
Cash: $261 (207% of Medicare)
Ins. Median: $144 (114% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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.

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 $29 - $325 23%
Molina $29 - $84 23%
Select Health $54 - $104 43%
Select Health Ichn Brightpath $54 - $116 43%
Select Health Idaho (Eirmc Only) $57 - $109 45%
Aetna $71 - $167 56%
Doug Andrus Distributing $72 - $137 57%
Pacificsource Health $75 - $184 59%
University Of Utah $75 - $144 59%
Prime Health $84 - $291 67%
Regence Blue Shield $84 67%
Rexburg Care And Rehab $84 67%
Triwest Healthcare Alliance $84 67%
Veteran'S Administration $84 67%
Humana $85 - $288 67%
United $85 - $217 67%
Mountain Health Co-Op $90 - $257 71%
Cigna $99 - $188 78%
First Choice Health Of Washington $108 - $206 86%
Moda $112 - $213 89%
Dmba $115 - $221 91%
Regence $138 109%
Geha Ppo Usa $143 - $274 113%
Multiplan $151 - $308 120%
First Choice Of The Midwest $161 - $308 128%
Interwest Health $161 - $308 128%
St. John'S Health Network $161 - $308 128%
Coventry First Health $163 - $312 129%
Shashone-Bannock Tribal Health $179 - $343 142%

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