SelfPayRates — hospital cash prices, from the source
Cash prices at 2 facilities across 2 cities for code 73721, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Apr 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Aspirus Divine Savior Hospital
PORTAGE, WI Pro MRI Jnt of Lwr Extre W/O Dye |
$573.95 | $883.00 | 35% | Apr 1, 2026 file |
|
| Meriter Hospital, Inc
MADISON, WI HC MRI LOW EXTR ANY JOINT WO CONTRAST |
$2,066.76 | $2,583.45 | 20% | Jan 28, 2026 file |
|
| Aspirus Divine Savior Hospital
PORTAGE, WI Rt Joint Lower Ext MRI W/O Contrast |
$2,653.95 | $4,083.00 | 35% | Apr 1, 2026 file |
|
| Aspirus Divine Savior Hospital
PORTAGE, WI MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL |
$3,227.90 | $4,966.00 | 35% | Apr 1, 2026 file |
|
| Aspirus Divine Savior Hospital
PORTAGE, WI Pro MRI Jnt of Lwr Extre W/O Dye|TECHNICAL COMPONENT|BILATERAL PROCEDURE |
both sides | $860.92 | $1,324.50 | 35% | Apr 1, 2026 file |
| Aspirus Divine Savior Hospital
PORTAGE, WI Rt Joint Lower Ext MRI W/O Contrast|TECHNICAL COMPONENT|BILATERAL PROCEDURE |
both sides | $3,980.92 | $6,124.50 | 35% | Apr 1, 2026 file |
Both sides : lowest $860.92, median $2,420.92, highest $3,980.92 — a 4.6× difference within the same market.
Outpatient: lowest $573.95, median $2,360.36, highest $3,227.90 — a 5.6× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $2,420.92. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
As an inpatient, the same code is billed by 2 facilities here, median $2,360.36. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.