CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Humboldt County Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,610
Cash Discount Price: $1,861
vs. Medicare Baseline: 6.60x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Humboldt County Memorial Hospital is $1,610. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,861. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.60x the Medicare baseline. Located in 1000 North 15Th Street, Humboldt, IA.

Cash / Self-Pay

$1,861

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,610

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: $1,861 (763%)

Insurance Median: $1,610 (660%)

Cash: $1,861 (763% of Medicare)

Ins. Median: $1,610 (660% 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 660% of the Medicare baseline (a markup of 560%). 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
Great West	$1,448	594%
Aetna	$1,468 - $1,551	602%
Health Partners	$1,468 - $1,654	602%
Physicians Mutual	$1,489	611%
Cigna	$1,551	636%
Phcs	$1,551	636%
Blue Cross Blue Shield	$1,610 - $1,799	660%
Humana	$1,610 - $1,758	660%
Iowa Health	$1,610	660%
Molina	$1,610 - $2,068	660%
Deanhealth	$1,654	679%
UnitedHealthcare	$1,985	814%
Wellpoint	$1,985 - $2,068	814%
Iowa Total Care	$2,068	848%

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 $1,861.
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 Humboldt County 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.