CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $818
Cash Discount Price: $1,636
vs. Medicare Baseline: 7.66x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Eastern Idaho Regional Medical Center is $818. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,636. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.66x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$1,636

Average discount available for prompt cash payment at this facility.

Insurance Median

$818

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,636 (1532%)

Insurance Median: $818 (766%)

Cash: $1,636 (1532% of Medicare)

Ins. Median: $818 (766% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 766% of the Medicare baseline (a markup of 666%). 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	$31 - $1,554	29%
Molina	$31 - $59	29%
Interwest Health	$151 - $1,472	141%
Regence	$225	211%
United	$245 - $946	229%
Select Health	$496	464%
Select Health Ichn Brightpath	$496 - $553	464%
Select Health Idaho (Eirmc Only)	$522	489%
Aetna	$645 - $797	604%
Doug Andrus Distributing	$654	612%
Pacificsource Health	$687 - $877	643%
University Of Utah	$687	643%
Mountain Health Co-Op	$818 - $1,227	766%
Cigna	$900	843%
First Choice Health Of Washington	$982	919%
Moda	$1,019	954%
Dmba	$1,054	987%
Prime Health	$1,227 - $1,390	1149%
Geha Ppo Usa	$1,309	1226%
Humana	$1,374	1286%
Multiplan	$1,374 - $1,472	1286%
First Choice Of The Midwest	$1,472	1378%
St. John'S Health Network	$1,472	1378%
Coventry First Health	$1,489	1394%
Shashone-Bannock Tribal Health	$1,636	1532%

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 $1,636.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

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 76700.
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.