CMS Price Transparency Data

MRI, knee or other leg joint

Facility: New Ulm Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,199
Cash Discount Price: $1,092
vs. Medicare Baseline: 4.92x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at New Ulm Medical Center is $1,199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,092. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.92x the Medicare baseline. Located in 1324 Fifth North Street, New Ulm, MN.

Cash / Self-Pay

$1,092

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,199

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: $1,092 (448%)

Insurance Median: $1,199 (492%)

Cash: $1,092 (448% of Medicare)

Ins. Median: $1,199 (492% 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 492% of the Medicare baseline (a markup of 392%). 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
Health Partners	$220 - $555	90%
Medicaid / KanCare	$227 - $1,557	93%
Blue Cross Blue Shield	$233 - $1,508	96%
Aetna	$234 - $2,771	96%
Medicare (plans)	$246 - $1,436	101%
Medica	$258 - $1,441	106%
Ucare Pmap (A B C D E G N O S U R H)	$258 - $653	106%
Hennepin Health	$259	106%
UnitedHealthcare	$284 - $1,869	117%
Medica Health System	$285 - $1,460	117%
Cigna	$605 - $2,653	248%
Medica Dual Solutions (A U)	$855	351%
Americas Ppo (Araz)(A M U)	$858 - $1,145	352%
Medica Mhps	$898	368%
Medica Ubh (A)	$898 - $1,437	368%
Bc Aware/Blue Plus (Nr)	$967	397%
Medica Ubh Pmap	$1,026 - $2,595	421%
First Health (A C E G H U B D N O R S)	$1,077 - $2,725	442%
South Country Health Alliance	$1,204 - $1,682	494%
Medica Ubh (N)	$1,703 - $2,725	699%
Americas Ppo (Araz)(B D N O R S V)	$1,877 - $2,502	770%
Americas Ppo (Araz) (B D N H O R S)	$2,044 - $2,725	838%
All Other Contracted Care (A B C D E G H N O R S U)	$2,433 - $3,244	998%

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 $1,092.
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 New Ulm 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.