CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Washakie Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $267
Cash Discount Price: $205
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Washakie Medical Center is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.10x the Medicare baseline. Located in 400 South 15Th Street, Worland, WY.

Cash / Self-Pay

$205

Average discount available for prompt cash payment at this facility.

Insurance Median

$267

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: $205 (84%)

Insurance Median: $267 (110%)

Cash: $205 (84% of Medicare)

Ins. Median: $267 (110% 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
Banner Health	$67 - $1,147	27%
Humana	$67 - $1,147	27%
Medica	$67 - $2,268	27%
Triwest Healthcare Alliance Corp - Va Ccn	$67 - $1,147	27%
UnitedHealthcare	$67 - $2,192	27%
Interwest Health	$68 - $2,342	28%
Prime Health Services	$68 - $2,342	28%
Blue Cross Blue Shield	$132 - $2,270	54%
First Choice Health Network	$132 - $2,270	54%
Hue Health, Inc	$132 - $2,270	54%
Imagine Health, Llc (Wka Wise Provider Network)	$132 - $2,270	54%
Mountain Health Cooperative (Co-Op)	$132 - $2,270	54%
Coventry	$133 - $2,294	55%
Cigna	$135 - $2,318	55%
Multiplan	$135 - $2,318	55%

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 $205.
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 Washakie 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.