CMS Price Transparency Data

X-ray, ankle

Facility: Eastern Idaho Regional Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $502
Cash Discount Price: $910
vs. Medicare Baseline: 5.65x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Eastern Idaho Regional Medical Center is $502. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $910. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.65x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$910

Average discount available for prompt cash payment at this facility.

Insurance Median

$502

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $910 (1024%)

Insurance Median: $502 (565%)

Cash: $910 (1024% of Medicare)

Ins. Median: $502 (565% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 565% of the Medicare baseline (a markup of 465%). 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	$7 - $1,013	8%
Molina	$7 - $21	8%
Interwest Health	$125 - $960	141%
United	$182 - $616	205%
Regence	$186	209%
Select Health	$228 - $323	256%
Select Health Ichn Brightpath	$228 - $360	256%
Select Health Idaho (Eirmc Only)	$240 - $340	270%
Aetna	$297 - $519	334%
Doug Andrus Distributing	$302 - $426	340%
Pacificsource Health	$317 - $571	357%
University Of Utah	$317 - $448	357%
Mountain Health Co-Op	$377 - $800	424%
Cigna	$415 - $586	467%
First Choice Health Of Washington	$452 - $640	508%
Moda	$470 - $664	529%
Dmba	$486 - $687	547%
Prime Health	$565 - $906	635%
Geha Ppo Usa	$603 - $853	678%
Humana	$633 - $896	712%
Multiplan	$633 - $960	712%
First Choice Of The Midwest	$679 - $960	764%
St. John'S Health Network	$679 - $960	764%
Coventry First Health	$686 - $970	772%
Shashone-Bannock Tribal Health	$754 - $1,066	848%

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 $910.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

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 73610.
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.