CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Wheatland Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,268
Cash Discount Price: $1,470
vs. Medicare Baseline: 5.20x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Wheatland Memorial Hospital is $1,268. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,470. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.20x the Medicare baseline. Located in 530 3Rd St Nw, Harlowton, MT.

Cash / Self-Pay

$1,470

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,268

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: $1,470 (603%)

Insurance Median: $1,268 (520%)

Cash: $1,470 (603% of Medicare)

Ins. Median: $1,268 (520% 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 520% of the Medicare baseline (a markup of 420%). 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
Blue Cross Blue Shield	$63 - $101	26%
Healthnet Federal-All Plans	$63 - $916	26%
Humana	$63 - $916	26%
Pacific Source Mcr Adv	$63 - $916	26%
Triwest-All Plans	$63 - $916	26%
UnitedHealthcare	$63 - $1,471	26%
Medica Prime Solutions-All Plans	$64 - $916	26%
Naphcare-All Plans	$100	41%
Allegiance Provider-All Plans	$103 - $1,276	42%
First Choice Big Sky-All Plans	$104 - $1,426	43%
6 Degrees Health-All Plans	$113 - $1,426	46%
Ccn-All Plans	$113 - $1,456	46%
Community Health Ntwk-All Plans	$113 - $1,426	46%
First Health-All Plans	$113 - $1,441	46%
Interwest Ppo-All Plans	$113 - $1,426	46%
Mountain Health Co-Op-All Plans	$113 - $1,426	46%
Rocky Mountain Health Network-All Plans	$113 - $1,426	46%
Pacific Steel & Recycling-All Plans	$124 - $1,426	51%
City Of Billings-All Plans	$134 - $2,252	55%
Pacific Source-All Other Plans	$140 - $1,426	57%
Amish Old Orders-All Plans	$158 - $1,126	65%
Fedmed Network-All Plans	$179 - $1,426	73%
Americas Choice-All Plans	$200 - $1,426	82%
Three Rivers-All Plans	$200 - $1,426	82%

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 $1,470.
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 Wheatland Memorial Hospital 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.