CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Stillwater Billings Clinic

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $360
  • Cash Discount Price: $983
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Stillwater Billings Clinic is $360. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $983. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.48x the Medicare baseline. Located in 710 N 11Th St, Columbus, MT.
Cash / Self-Pay
$983

Average discount available for prompt cash payment at this facility.

Insurance Median
$360

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: $983 (403%)
Insurance Median: $360 (148%)
Cash: $983 (403% of Medicare)
Ins. Median: $360 (148% 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.

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
Humana $61 - $1,120 25%
Blue Cross Blue Shield $62 - $1,549 25%
Pacific Source Mcr Advantage $62 - $1,109 25%
Tricare $62 - $1,109 25%
Allegiance Direct Ppo - All Other Plans $103 - $1,549 42%
Allegiance State Of Mt $103 - $2,283 42%
All Savers-All Plans $106 - $1,549 43%
UnitedHealthcare $106 - $1,549 43%
Cigna $113 - $1,549 46%
Aetna $114 - $1,582 47%
Boon Chapman First Choice Health $114 - $1,582 47%
Ebms First Choice Health $114 - $1,582 47%
First Choice- All Plans $114 - $1,582 47%
Mountain Health Coop - All Plans $114 - $1,501 47%
Pacific Source Billings Clinic $114 - $1,223 47%
Pacific Source Voyager - All Other Plans $114 - $1,549 47%
Pacificsource Nav $114 - $1,549 47%
Rci First Choice Health - All Other Plans $114 - $1,582 47%
Rci Wyoben $114 - $1,468 47%
Trustmark First Choice Health $114 - $1,582 47%
Wyo-Ben Inc- All Plans $114 - $1,468 47%
Zenith First Choice Health- All Plans $114 - $1,582 47%
Pacific Steel Direct - All Plans $123 - $1,142 50%
Ebms Interwest $278 - $1,549 114%
Gpa Interwest- All Plans $278 - $1,549 114%
Interwest Health-All Plans $278 - $1,549 114%
Rci Interwest $278 - $1,549 114%
Allied Core Value $291 - $1,419 119%
Ebms Town Pump $302 - $1,549 124%
Town Pump Inc- All Plans $302 - $1,549 124%
Blackhawk - All Plans $318 - $1,549 130%
Mtada- All Plans $318 - $1,549 130%
Prodegi (Y-Tex Corp)- All Plans $318 - $1,549 130%
Murdoch Oil - All Plans $325 - $1,582 133%
Ryegate Public Schools - All Plans $325 - $1,582 133%
Savatree - All Plans $325 - $1,582 133%
Tabs - All Plans $325 - $1,582 133%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N 11Th St, Columbus, MT 59019
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals