CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Essentia Health Moose Lake

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $1,338
  • Cash Discount Price: $2,104
  • vs. Medicare Baseline: 5.49x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Essentia Health Moose Lake is $1,338. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,104. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.49x the Medicare baseline. Located in 4572 County Road 61, Moose Lake, MN.
Cash / Self-Pay
$2,104

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,338

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: $2,104 (863%)
Insurance Median: $1,338 (549%)
Cash: $2,104 (863% of Medicare)
Ins. Median: $1,338 (549% 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 549% of the Medicare baseline (a markup of 449%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $161 - $1,338 66%
Blue Plus Pmap Pcc Prime $161 66%
Primewest $236 97%
Itasca Med Care $242 99%
Medica Access $1,133 465%
Healthpartners Care Pmap $1,144 469%
Sanford Healthplan $1,221 - $1,285 501%
Advocare/Security Health $1,338 549%
Freedom Blue Ppo $1,338 549%
Healthpartners Care Msho / Mcr Adv $1,338 549%
Imcare Msho Pcc Prime $1,338 549%
Imcare Msho Ref Req $1,338 549%
Medica Advantage Solutions $1,338 549%
Medica Msho/Dual Solutions $1,338 549%
Medica Prime Solution Group $1,338 549%
Medicare (plans) $1,338 549%
Nd Va Administration $1,338 549%
Platinum Blue/Vantage Blue $1,338 549%
Primewest Msho $1,338 549%
Secure Blue Msho $1,338 549%
Ubh Cost Plan $1,338 549%
Ubh Msho $1,338 549%
Ucare Msho $1,338 549%
UnitedHealthcare $1,338 - $2,577 549%
Ucare $1,873 768%
Healthpartners $1,993 - $2,221 818%
Medica $2,036 - $2,263 835%
Medica Uplan $2,036 835%
Wea $2,050 - $2,192 841%
America'S Ppo $2,206 905%
Cigna $2,221 911%
Healthpartners Pcc Prime $2,221 911%
Medica Choice $2,332 957%
Wps $2,391 981%
Aetna $2,420 993%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4572 County Road 61, Moose Lake, MN 55767
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals