CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Perham Health

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,176
Cash Discount Price: $2,123
vs. Medicare Baseline: 4.82x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Perham Health is $1,176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,123. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.82x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.

Cash / Self-Pay

$2,123

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,176

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: $2,123 (871%)

Insurance Median: $1,176 (482%)

Cash: $2,123 (871% of Medicare)

Ins. Median: $1,176 (482% 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 482% of the Medicare baseline (a markup of 382%). 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
Medica Mn (Msho)	$848	348%
Medica Mn Senior Hp/Outside Mn	$848	348%
Blue Cross Blue Shield	$1,110 - $1,156	455%
Health Partners Mcr Adv	$1,110	455%
Humana	$1,110	455%
Medica Mcr Adv	$1,110	455%
Medicare (plans)	$1,110 - $1,235	455%
Ucare Mn Senior Health Options	$1,110	455%
UnitedHealthcare	$1,143 - $2,547	469%
Ucare Mn Special Needs Basic Care Dual	$1,166	478%
Ucare Mn Medical Assistance	$1,176	482%
Ucare Mn Minnesota Care	$1,176	482%
Ucare Mn Senior Care Plus	$1,176	482%
Ucare Mn Special Needs Basic Care	$1,176	482%
Medicaid / KanCare	$1,177	483%
Medica Mcaid Mn Care	$1,195	490%
Ucare Individual And Family Plan-All Other Plans	$1,352	555%
Health Partners Minnesota Care	$1,633	670%
Preferred One (Pchp, Pic, Pas)-All Other Plans	$2,450	1005%
Health Partners-All Plans	$2,678	1099%
Preferred One (Ppo)	$2,776	1139%
Sanford Health Plan-All Plans	$2,776	1139%
Medica Commercial-All Other Plans	$2,950	1210%

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 $2,123.
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 Perham Health 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.