CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $221
Cash Discount Price: $442
vs. Medicare Baseline: 2.49x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Eastern Idaho Regional Medical Center is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $442. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.49x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$442

Average discount available for prompt cash payment at this facility.

Insurance Median

$221

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: $442 (497%)

Insurance Median: $221 (249%)

Cash: $442 (497% of Medicare)

Ins. Median: $221 (249% 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 249% of the Medicare baseline (a markup of 149%). 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	$9 - $420	10%
Molina	$9 - $22	10%
Interwest Health	$125 - $398	141%
Select Health	$134	151%
Select Health Ichn Brightpath	$134 - $149	151%
Select Health Idaho (Eirmc Only)	$141	159%
Aetna	$174 - $215	196%
Doug Andrus Distributing	$177	199%
United	$182 - $255	205%
Pacificsource Health	$186 - $237	209%
Regence	$186	209%
University Of Utah	$186	209%
Mountain Health Co-Op	$221 - $331	249%
Cigna	$243	273%
First Choice Health Of Washington	$265	298%
Moda	$275	309%
Dmba	$284	319%
Prime Health	$331 - $375	372%
Geha Ppo Usa	$353	397%
Humana	$371	417%
Multiplan	$371 - $398	417%
First Choice Of The Midwest	$398	448%
St. John'S Health Network	$398	448%
Coventry First Health	$402	452%
Shashone-Bannock Tribal Health	$442	497%

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 $442.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

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 72040.
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.