CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Island Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $776
Cash Discount Price: $2,074
vs. Medicare Baseline: 3.18x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Island Hospital is $776. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,074. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.18x the Medicare baseline. Located in 1211 24Th Street, Anacortes, WA.

Cash / Self-Pay

$2,074

Average discount available for prompt cash payment at this facility.

Insurance Median

$776

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: $2,074 (851%)

Insurance Median: $776 (318%)

Cash: $2,074 (851% of Medicare)

Ins. Median: $776 (318% 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 318% of the Medicare baseline (a markup of 218%). 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
Regence Comm - All Other Plans	$97 - $1,512	40%
Molina Mcaid - All Plans	$171 - $746	70%
Amerigroup Mcaid - All Plans	$180 - $783	74%
Coordinated Care Mcaid - All Plans	$197 - $811	81%
Chpw Mcaid - All Plans	$205	84%
Aarp Mcr Adv - All Plans	$726	298%
Humana	$726 - $1,811	298%
Kaiser Mcr Adv	$726 - $767	298%
Samish Indian Health - All Plans	$726 - $767	298%
Swinomish Indian Health - All Plans	$726 - $767	298%
Tricare	$726 - $767	298%
UnitedHealthcare	$726 - $1,650	298%
Aetna	$762 - $2,024	313%
Premera Mcr Adv	$762 - $806	313%
Regence Mcr Adv	$769	315%
Premera Comm - All Other Plans	$1,411	579%
Cigna	$1,613 - $1,705	662%
First Choice - All Plans	$1,714 - $1,811	703%
First Health - All Plans	$1,714 - $1,811	703%
Multiplan - All Plans	$1,714 - $1,811	703%

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 $2,074.
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 Island 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.