CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Pullman Regional Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $683
  • Cash Discount Price: $1,490
  • vs. Medicare Baseline: 2.80x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Pullman Regional Hospital is $683. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,490. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.80x the Medicare baseline. Located in 835 S Bishop Blvd, Pullman, WA.
Cash / Self-Pay
$1,490

Average discount available for prompt cash payment at this facility.

Insurance Median
$683

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: $1,490 (611%)
Insurance Median: $683 (280%)
Cash: $1,490 (611% of Medicare)
Ins. Median: $683 (280% 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 280% of the Medicare baseline (a markup of 180%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Community Care Ntwrk Mcare-All Plans $182 - $1,045 75%
Humana $182 - $1,045 75%
Kaiser Mcare Advan $182 - $1,045 75%
Sterling Mcr Adv-All Plans $182 - $1,045 75%
Triwest - All Plans $182 - $1,045 75%
Blue Cross Blue Shield $184 - $2,837 75%
Community Health Plan Mcaid-All Plans $188 - $1,081 77%
Medicaid / KanCare $188 - $1,081 77%
Molina Hlthcare Mcaid-All Plans $188 - $1,081 77%
Wellcare Mcaid -All Other Plans $188 - $1,081 77%
Wellpoint Mcaid - All Plans $188 - $1,081 77%
Wellcare Mcr Adv $198 - $1,139 81%
Idaho Dshs-All Plans $213 - $1,224 87%
Premera First - All Plans $380 - $2,180 156%
Single Case Agree - All Plans $380 - $2,180 156%
First Choice Admin $429 - $2,463 176%
Admin Wsu Student-All Plans $442 - $2,538 181%
Multiplan - All Plans $442 - $2,538 181%
Asuris Nw Hlth-All Plans $468 - $2,687 192%
Cigna $468 - $2,687 192%
First Choice - All Other Plans $468 - $2,687 192%
Focus Hlthcare - All Plans $468 - $2,687 192%
Northwest One - All Plans $468 - $2,687 192%
UnitedHealthcare $468 - $2,687 192%
Aetna $494 - $2,837 203%
Great West Hlth-All Plans $494 - $2,837 203%
Integrated Hp - All Plans $494 - $2,837 203%
Spokane Phco - All Plans $494 - $2,837 203%
Provider Network Of America-All Plans $510 - $2,926 209%
Kaiser - All Other Plans $683 280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 S Bishop Blvd, Pullman, WA 99163
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals