CMS Price Transparency Data

X-ray, shoulder

Facility: Eastern Idaho Regional Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $659
Cash Discount Price: $1,171
vs. Medicare Baseline: 7.41x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Eastern Idaho Regional Medical Center is $659. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,171. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.41x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$1,171

Average discount available for prompt cash payment at this facility.

Insurance Median

$659

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: $1,171 (1317%)

Insurance Median: $659 (741%)

Cash: $1,171 (1317% of Medicare)

Ins. Median: $659 (741% 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 741% of the Medicare baseline (a markup of 641%). 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 - $1,336	8%
Molina	$7 - $19	8%
Interwest Health	$125 - $1,266	141%
United	$182 - $813	205%
Regence	$186	209%
Select Health	$284 - $426	319%
Select Health Ichn Brightpath	$284 - $475	319%
Select Health Idaho (Eirmc Only)	$299 - $449	336%
Aetna	$369 - $685	415%
Doug Andrus Distributing	$375 - $563	422%
Pacificsource Health	$393 - $754	442%
University Of Utah	$393 - $591	442%
Mountain Health Co-Op	$468 - $1,055	526%
Cigna	$515 - $773	579%
First Choice Health Of Washington	$562 - $844	632%
Moda	$584 - $876	657%
Dmba	$603 - $906	678%
Prime Health	$702 - $1,195	790%
Geha Ppo Usa	$749 - $1,125	842%
Humana	$787 - $1,181	885%
Multiplan	$787 - $1,266	885%
First Choice Of The Midwest	$843 - $1,266	948%
St. John'S Health Network	$843 - $1,266	948%
Coventry First Health	$852 - $1,280	958%
Shashone-Bannock Tribal Health	$937 - $1,406	1054%

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 $1,171.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

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 73030.
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.