CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Huron Regional Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $5,055
Cash Discount Price: $3,127
vs. Medicare Baseline: 20.74x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Huron Regional Medical Center is $5,055. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,127. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 20.74x the Medicare baseline. Located in 172 Fourth Street Se, Huron, SD.

Cash / Self-Pay

$3,127

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,055

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: $3,127 (1283%)

Insurance Median: $5,055 (2074%)

Cash: $3,127 (1283% of Medicare)

Ins. Median: $5,055 (2074% 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 2074% of the Medicare baseline (a markup of 1974%). 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	$139 - $9,412	57%
Sanford	$142 - $9,693	58%
UnitedHealthcare	$143 - $7,505	59%
Healthpartners	$148 - $10,006	61%
Tlc Advantage	$150 - $10,110	62%
Midlands	$158	65%
Avera	$350 - $7,702	144%
Wellmark	$945	388%
Multiplan	$4,690 - $9,381	1924%
Americas	$5,055 - $10,110	2074%
First Choice Of The Midwest	$5,055 - $10,110	2074%
First Health Coventry	$5,055 - $10,110	2074%
Integrated Health Plan	$5,055 - $10,110	2074%

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 $3,127.
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 Huron Regional 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.