CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Steele Memorial Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,245
Cash Discount Price: $1,385
vs. Medicare Baseline: 5.11x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Steele Memorial Medical Center is $1,245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,385. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.11x the Medicare baseline. Located in 203 South Daisy Street, Salmon, ID.

Cash / Self-Pay

$1,385

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,245

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: $1,385 (568%)

Insurance Median: $1,245 (511%)

Cash: $1,385 (568% of Medicare)

Ins. Median: $1,245 (511% 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 511% of the Medicare baseline (a markup of 411%). 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
Aetna	$445 - $2,571	183%
Pacific Source Mcr Adv	$464 - $1,272	190%
Windsor Hp Mcr Adv - All Plans	$464 - $1,272	190%
Select Health Mcr Adv	$469 - $1,285	192%
Blue Cross Blue Shield	$474 - $2,706	194%
Liberty Healthshare - All Plans	$789 - $2,162	324%
Pacific Source - All Other Plans	$889 - $2,435	365%
Cigna	$911 - $2,495	374%
Mountain Health Co-Op - All Plans	$939 - $2,571	385%
Select Health Inc - All Other Plans	$939 - $2,571	385%
UnitedHealthcare	$939 - $2,571	385%
Multiplan - All Plans	$968 - $2,652	397%
Three Rivers - All Plans	$968 - $2,652	397%
Ichn, Llc - All Plans	$988 - $2,706	405%
Regence Blue Shield - All Plans	$2,470 - $6,765	1013%

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 $1,385.
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 Steele Memorial Medical Center 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.