CMS Price Transparency Data

Hospital observation (per hour)

Facility: Eastern Idaho Regional Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $152
Cash Discount Price: $235
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Eastern Idaho Regional Medical Center is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$235

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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
Select Health	$29 - $191	N/A
Select Health Ichn Brightpath	$29 - $213	N/A
Select Health Idaho (Eirmc Only)	$30 - $201	N/A
Aetna	$37 - $307	N/A
Doug Andrus Distributing	$38 - $252	N/A
University of Utah	$40 - $265	N/A
Blue Cross Blue Shield	$43 - $598	N/A
Mountain Health Co-Op	$48 - $472	N/A
Regence Blue Shield	$50	N/A
Pacificsource Health	$51 - $338	N/A
Cigna	$52 - $346	N/A
United	$55 - $364	N/A
First Choice Health of Washington	$57 - $378	N/A
Moda	$59 - $392	N/A
Dmba	$61 - $406	N/A
Prime Health	$71 - $536	N/A
Geha PPO USA	$76 - $504	N/A
Triwest Healthcare Alliance	$76 - $504	N/A
Humana	$80 - $529	N/A
Multiplan	$80 - $567	N/A
Interwest Health	$86 - $567	N/A
Coventry First Health	$86 - $573	N/A
First Choice of the Midwest	$86 - $567	N/A
St. John's Health Network	$86 - $567	N/A
Shashone-Bannock Tribal Health	$95 - $630	N/A
Regence	$100	N/A

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 $235.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

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 HCPCS code G0378.
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.