CMS Price Transparency Data

X-ray, pelvis

Facility: Eastern Idaho Regional Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $191
Cash Discount Price: $348
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Eastern Idaho Regional Medical Center is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.79x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$348

Average discount available for prompt cash payment at this facility.

Insurance Median

$191

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: $348 (326%)

Insurance Median: $191 (179%)

Cash: $348 (326% of Medicare)

Ins. Median: $191 (179% 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.

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 - $330	7%
Molina	$7 - $15	7%
Select Health	$105	98%
Select Health Ichn Brightpath	$105 - $118	98%
Select Health Idaho (Eirmc Only)	$111	104%
Aetna	$137 - $169	128%
Doug Andrus Distributing	$139	130%
Pacificsource Health	$146 - $186	137%
University Of Utah	$146	137%
Interwest Health	$151 - $313	141%
Mountain Health Co-Op	$174 - $261	163%
Cigna	$191	179%
United	$201 - $245	188%
First Choice Health Of Washington	$209	196%
Moda	$217	203%
Dmba	$224	210%
Regence	$225	211%
Prime Health	$261 - $296	244%
Geha Ppo Usa	$278	260%
Humana	$292	273%
Multiplan	$292 - $313	273%
First Choice Of The Midwest	$313	293%
St. John'S Health Network	$313	293%
Coventry First Health	$316	296%
Shashone-Bannock Tribal Health	$348	326%

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 $348.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

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 72170.
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.