CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Nell J Redfield Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $925
Cash Discount Price: $1,167
vs. Medicare Baseline: 3.79x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Nell J Redfield Memorial Hospital is $925. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,167. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.79x the Medicare baseline. Located in 150 North 200 West, Malad City, ID.

Cash / Self-Pay

$1,167

Average discount available for prompt cash payment at this facility.

Insurance Median

$925

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: $1,167 (479%)

Insurance Median: $925 (379%)

Cash: $1,167 (479% of Medicare)

Ins. Median: $925 (379% 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 379% of the Medicare baseline (a markup of 279%). 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
Regence Bs Mcr	$448 - $925	184%
UnitedHealthcare	$448 - $1,572	184%
Bc Mcr Adv	$452 - $934	185%
Choicecare Mcr Adv	$452 - $934	185%
Aetna	$456 - $1,517	187%
Pacificsource Mcr Adv - All Plans	$461 - $953	189%
University Of Ut - All Plans	$716 - $1,480	294%
Choicecare Ppo - All Other Plans	$761 - $1,572	312%
Town & Country - All Plans	$761 - $1,572	312%
Brightpath Select Hlth - All Plans	$806 - $1,665	331%
Bc Comm - All Other Plans	$1,521	624%
Regence Bs Comm - All Other Plans	$2,238 - $4,625	918%

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 $1,167.
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 Nell J Redfield 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.