CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Lifecare Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $159
Cash Discount Price: $939
vs. Medicare Baseline: 0.65x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Lifecare Medical Center is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $939. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.65x the Medicare baseline. Located in 715 Delmore Drive, Roseau, MN.

Cash / Self-Pay

$939

Average discount available for prompt cash payment at this facility.

Insurance Median

$159

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: $939 (385%)

Insurance Median: $159 (65%)

Cash: $939 (385% of Medicare)

Ins. Median: $159 (65% 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
Blue Cross Blue Shield	$62 - $1,386	25%
Medica Mcr Adv	$62 - $819	25%
UnitedHealthcare	$62 - $819	25%
Medica Msho	$68 - $1,213	28%
Medica Comm - All Other Plans	$83 - $1,895	34%
Health Partners - All Plans	$95 - $1,950	39%
Ucare - All Other Plans	$99 - $2,145	41%
Ucare Mcr Adv	$99 - $975	41%
Ucare Mcr Select	$99 - $975	41%
Ucare Sr Hlth Options (Msho)	$99 - $975	41%
Sanford-All Plans	$123 - $1,852	50%
Medica Mcaid	$159 - $901	65%

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 $939.
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 Lifecare 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.