CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Kootenai Health

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$189

about 0.8× the $244 Medicare rate · typically $188–$358

modeled estimate · not a bill or quote

What this hospital charges insurers

$190

About the fair price

about $1 over the fair price · 0.8× Medicare

Medicare pays $244 Fair price $189 This hospital $190 Cash price $1,595 Hospital's list price $2,127

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 4 charge more and 4 charge less, among the 9 ID hospitals compared.

Cheapest $57 Priciest $236

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $189 (about 0.8× the $244 Medicare rate). Kootenai Health charges insurers about $190, or about $1,595 in cash — about the fair price. Located in Coeur D'Alene, ID.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$60 - $1,914	25%
Blue Cross Blue Shieldmajor	$60 - $1,914	25%
Aetnamajor	$63 - $1,765	26%
Cignamajor	$1,742 - $1,768	715%
Humanamajor	$60 - $247	25%
Kaiser Permanentemajor	$88 - $888	36%
Molina	$39 - $787	16%
PacificSource	$61 - $1,742	25%
+ 5 smaller / regional plans	$39 - $1,842

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,595), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Kootenai Health is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Kootenai Health

Compare: MRI, knee or other leg joint at other ID hospitals

Insurance negotiated median for the same procedure, sorted lowest first.