CMS Price Transparency Data

X-ray, hand

Facility: Eastern Idaho Regional Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $510
Cash Discount Price: $920
vs. Medicare Baseline: 5.74x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Eastern Idaho Regional Medical Center is $510. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $920. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.74x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$920

Average discount available for prompt cash payment at this facility.

Insurance Median

$510

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: $920 (1035%)

Insurance Median: $510 (574%)

Cash: $920 (1035% of Medicare)

Ins. Median: $510 (574% 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 574% of the Medicare baseline (a markup of 474%). 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 - $1,035	8%
Molina	$7 - $22	8%
Interwest Health	$125 - $980	141%
United	$182 - $629	205%
Regence	$186	209%
Select Health	$228 - $330	256%
Select Health Ichn Brightpath	$228 - $368	256%
Select Health Idaho (Eirmc Only)	$240 - $347	270%
Aetna	$296 - $530	333%
Doug Andrus Distributing	$301 - $436	339%
Pacificsource Health	$316 - $584	355%
University Of Utah	$316 - $457	355%
Mountain Health Co-Op	$376 - $817	423%
Cigna	$413 - $599	465%
First Choice Health Of Washington	$451 - $653	507%
Moda	$468 - $678	526%
Dmba	$484 - $701	544%
Prime Health	$564 - $926	634%
Geha Ppo Usa	$601 - $871	676%
Humana	$631 - $915	710%
Multiplan	$631 - $980	710%
First Choice Of The Midwest	$676 - $980	760%
St. John'S Health Network	$676 - $980	760%
Coventry First Health	$684 - $991	769%
Shashone-Bannock Tribal Health	$751 - $1,089	845%

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 $920.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

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 73130.
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.