CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Memorial Hospital of Carbon County

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,788
Cash Discount Price: $1,788
vs. Medicare Baseline: 7.33x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Memorial Hospital of Carbon County is $1,788. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,788. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.33x the Medicare baseline. Located in 2221 West Elm Street, Rawlins, WY.

Cash / Self-Pay

$1,788

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,788

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: $1,788 (733%)

Insurance Median: $1,788 (733%)

Cash: $1,788 (733% of Medicare)

Ins. Median: $1,788 (733% 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 733% of the Medicare baseline (a markup of 633%). 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
Three_River_Providers_Network	$430 - $2,414	176%
Wise_Provider_Networks	$430 - $2,414	176%
Zelis	$430 - $2,414	176%
Corechoice	$517 - $2,897	212%
First_Choice_Health	$517 - $2,897	212%
Blue Cross Blue Shield	$528 - $2,961	217%
Cigna	$534 - $2,993	219%
UnitedHealthcare	$551 - $3,090	226%
Interwests_Ppo_Network	$557 - $3,122	228%
Multiplan	$557 - $3,122	228%
Lhi	$604	248%
Medicare (plans)	$1,240 - $1,674	509%
Vaccn	$1,240 - $1,674	509%
Medicaid / KanCare	$2,384 - $3,218	978%

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 $1,788.
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 Memorial Hospital of Carbon County 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.