CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Sanford Hospital Webster - Cah

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,709
Cash Discount Price: $2,919
vs. Medicare Baseline: 11.11x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Sanford Hospital Webster - Cah is $2,709. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,919. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.11x the Medicare baseline. Located in 1401 W First St Post Office Box 489, Webster, SD.

Cash / Self-Pay

$2,919

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,709

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: $2,919 (1197%)

Insurance Median: $2,709 (1111%)

Cash: $2,919 (1197% of Medicare)

Ins. Median: $2,709 (1111% 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 1111% of the Medicare baseline (a markup of 1011%). 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
Sanford Health Plan Align	$1,146	470%
Ucare	$1,230 - $3,206	505%
Wellmark Sd	$1,230	505%
Aetna	$1,241 - $3,171	509%
Health Partners	$1,241 - $2,737	509%
Medicare (plans)	$1,241	509%
UnitedHealthcare	$1,241 - $3,047	509%
Primewest	$1,264	519%
Sanford Health Plan	$1,999 - $2,682	820%
Security Health Plan	$2,007	823%
Medica	$3,010 - $3,218	1235%
Wellmark	$3,138 - $3,175	1287%
First Choice Health Network	$3,284	1347%
Healthez	$3,284	1347%
Multiplan	$3,284	1347%

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 $2,919.
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 Sanford Hospital Webster - Cah 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.