CMS Price Transparency Data

X-ray, lower back

Facility: Eastern Idaho Regional Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $734
Cash Discount Price: $1,467
vs. Medicare Baseline: 6.87x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Eastern Idaho Regional Medical Center is $734. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,467. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.87x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$1,467

Average discount available for prompt cash payment at this facility.

Insurance Median

$734

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: $1,467 (1373%)

Insurance Median: $734 (687%)

Cash: $1,467 (1373% of Medicare)

Ins. Median: $734 (687% 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 687% of the Medicare baseline (a markup of 587%). 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	$10 - $1,394	9%
Molina	$10 - $30	9%
Interwest Health	$151 - $1,320	141%
Regence	$225	211%
United	$245 - $848	229%
Select Health	$445	417%
Select Health Ichn Brightpath	$445 - $496	417%
Select Health Idaho (Eirmc Only)	$468	438%
Aetna	$578 - $715	541%
Doug Andrus Distributing	$587	550%
Pacificsource Health	$616 - $786	577%
University Of Utah	$616	577%
Mountain Health Co-Op	$734 - $1,100	687%
Cigna	$807	756%
First Choice Health Of Washington	$880	824%
Moda	$914	856%
Dmba	$945	885%
Prime Health	$1,100 - $1,247	1030%
Geha Ppo Usa	$1,174	1099%
Humana	$1,232	1153%
Multiplan	$1,232 - $1,320	1153%
First Choice Of The Midwest	$1,320	1236%
St. John'S Health Network	$1,320	1236%
Coventry First Health	$1,335	1250%
Shashone-Bannock Tribal Health	$1,467	1373%

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 $1,467.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

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 72110.
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.