CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Fairbanks Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,155
Cash Discount Price: $2,307
vs. Medicare Baseline: 8.84x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Fairbanks Memorial Hospital is $2,155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,307. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.84x the Medicare baseline. Located in 1650 Cowles Street, Fairbanks, AK.

Cash / Self-Pay

$2,307

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,155

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $2,307 (946%)

Insurance Median: $2,155 (884%)

Cash: $2,307 (946% of Medicare)

Ins. Median: $2,155 (884% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 884% of the Medicare baseline (a markup of 784%). 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
Premera First - All Plans	$265	109%
Tricare	$265	109%
Va (Triwest) - All Plans	$265	109%
Banner Choice - All Plans	$600 - $712	246%
Blue Cross Blue Shield	$2,088 - $2,478	857%
UnitedHealthcare	$2,111 - $2,504	866%
Aetna	$2,133 - $2,531	875%
Moda Health Plan - All Plans	$2,155 - $2,557	884%
Multiplan - All Plans	$2,155 - $2,557	884%
Cigna	$2,177 - $2,583	893%

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 $2,307.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fairbanks Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73721.
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.