CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Richland Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $404
Cash Discount Price: $2,602
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Richland Hospital is $404. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,602. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.66x the Medicare baseline. Located in 333 E Second St, Richland Center, WI.

Cash / Self-Pay

$2,602

Average discount available for prompt cash payment at this facility.

Insurance Median

$404

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: $2,602 (1067%)

Insurance Median: $404 (166%)

Cash: $2,602 (1067% of Medicare)

Ins. Median: $404 (166% 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.

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
Blue Cross Blue Shield	$54 - $2,927	22%
Care Wisconsin	$54 - $3,902	22%
Dean Health Plan	$54 - $3,902	22%
Health Tradition	$54 - $3,902	22%
UnitedHealthcare	$54 - $3,902	22%
Security Health	$60 - $1,138	25%
Group Health Coop Of Eau Claire	$63 - $3,902	26%
Humana	$70 - $3,902	29%
Quartz	$70 - $3,902	29%
Aetna	$604 - $2,927	248%
Cigna	$604 - $2,146	248%
Employer Health Care Alliance	$604 - $2,276	248%

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 $2,602.
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 Richland 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.