CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Boundary Community Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $241
Cash Discount Price: $712
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Boundary Community Hospital is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $712. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.99x the Medicare baseline. Located in 6640 Kaniksu Street, Bonners Ferry, ID.

Cash / Self-Pay

$712

Average discount available for prompt cash payment at this facility.

Insurance Median

$241

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: $712 (292%)

Insurance Median: $241 (99%)

Cash: $712 (292% of Medicare)

Ins. Median: $241 (99% 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.

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
UnitedHealthcare	$42 - $1,371	17%
Cigna	$54 - $2,718	22%
Molina Comm/Mrketplce - All Other Plans	$60 - $244	25%
Molina Mcr Adv	$60 - $887	25%
Bc Idaho Qhp	$109 - $1,516	45%
Bc Idaho Comm - All Other Plans	$121 - $1,521	50%
Regence Blue Shield - All Plans	$129 - $6,250	53%
Molina Mcaid	$159 - $968	65%
Pacificsource Comm - All Other Plans	$162 - $1,565	66%
Aetna	$239 - $1,048	98%

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 $712.
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 Boundary Community 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.