CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Lisbon Area Health Services

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,957
Cash Discount Price: $2,006
vs. Medicare Baseline: 12.13x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Lisbon Area Health Services is $2,957. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,006. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 12.13x the Medicare baseline. Located in 905 Main St, Lisbon, ND.

Cash / Self-Pay

$2,006

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,957

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: $2,006 (823%)

Insurance Median: $2,957 (1213%)

Cash: $2,006 (823% of Medicare)

Ins. Median: $2,957 (1213% 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 1213% of the Medicare baseline (a markup of 1113%). 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	$1,657 - $3,760	680%
Blue Cross Blue Shield	$1,690 - $2,781	693%
United	$2,372 - $3,251	973%
Sanford Health Plan	$2,957 - $3,564	1213%
Health Partners	$3,087 - $3,721	1266%

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 $2,006.
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 Lisbon Area Health Services 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.