CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$26,263

about 1.1× the $23,504 Medicare rate · typically $23,543–$35,932

modeled estimate · not a bill or quote

What this hospital charges insurers

$28,794

About the fair price

about $2,531 over the fair price · 1.2× Medicare

Medicare pays $23,504 Fair price $26,263 This hospital $28,794

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

On the higher side — 6 of 8 other ID hospitals charge less.

Cheapest $23,275 Priciest $84,412

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $26,263 (about 1.1× the $23,504 Medicare rate). Eastern Idaho Regional Medical Center charges insurers about $28,794 — about the fair price. Located in Idaho Falls, ID.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$7,737 - $92,683	33%
Blue Cross Blue Shieldmajor	$26,956 - $69,620	115%
Humanamajor	$27,495	117%
Molina	$26,956	115%
PacificSource	$101,770	433%
SelectHealth	$65,076	277%
+ 4 smaller / regional plans	$26,956 - $73,192

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Eastern Idaho Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Eastern Idaho Regional Medical Center

Compare: Spinal fusion, single level (inpatient stay) at other ID hospitals

Idaho Falls Community Hospital, LLC · Idaho Falls $23,275
Northwest Specialty Hospital · Post Falls $23,809
Mountain View Hospital · Idaho Falls $24,903
Kootenai Health · Coeur D'Alene $26,310
St Luke's Nampa Medical Center · Nampa $27,942
Madison Memorial Hospital · Rexburg $28,694
West Valley Medical Center · Caldwell $29,196
Saint Alphonsus Regional Medical Center · Boise $84,412

Insurance negotiated median for the same procedure, sorted lowest first.