CMS Price Transparency Data
MRI, knee or other leg joint
Facility: Mercy Hospital Northwest Arkansas
Billing Code: 73721 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73721
- Insurance Median: $1,118
- Cash Discount Price: $2,385
- vs. Medicare Baseline: 4.59x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mercy Hospital Northwest Arkansas is $1,118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,385. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.59x the Medicare baseline. Located in 2710 South Rife Medical Lane, Rogers, AR.
Cash / Self-Pay
$2,385
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,118
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: $2,385 (978%)
Insurance Median: $1,118 (459%)
Cash: $2,385 (978% of Medicare)
Ins. Median: $1,118 (459% 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 459% of the Medicare baseline (a markup of 359%). 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 |
|---|---|---|
| Medicaid / KanCare | $120 - $483 | 49% |
| Aetna | $178 - $1,344 | 73% |
| Humana | $178 - $3,578 | 73% |
| Blue Cross Blue Shield | $215 - $218 | 88% |
| Usable Contracted [320409] | $215 | 88% |
| American Health Advantage Of Mo Mcr [20264] | $218 | 89% |
| Cherokee Nation Health Serv Contracted [320066] | $218 | 89% |
| Cigna | $218 - $1,129 | 89% |
| Cross Timbers Hospice [20098] | $218 | 89% |
| Dept Of Veteran Affairs Contracted [320106] | $218 | 89% |
| Elara Caring Aspire Hospice Contracted [320433] | $218 | 89% |
| Elara Caring Aspire Hospice [20433] | $218 | 89% |
| Globalhealth Contracted [320145] | $218 | 89% |
| Halo Hcr Inc Hospice Contracted [320432] | $218 | 89% |
| Halo Hcr Inc Hospice [20432] | $218 | 89% |
| Independent Health [20197] | $218 | 89% |
| Jordan Valley Senior Care Pace [20515] | $218 | 89% |
| Kindful Hospice Contracted [320434] | $218 | 89% |
| Kindful Hospice [20434] | $218 | 89% |
| Medical Associates Health [20444] | $218 | 89% |
| Medicare (plans) | $218 - $226 | 89% |
| Mercy Hospice Okc [20252] | $218 | 89% |
| Pace Of The Ozarks [20518] | $218 | 89% |
| Provider Partners Health Plans Contracted [320450] | $218 | 89% |
| Qual Choice Contracted [320325] | $218 | 89% |
| Spina Bifida Hlthcare Benefit [20506] | $218 | 89% |
| Tribute Health Plan Mcr [20338] | $218 | 89% |
| Tricare | $218 | 89% |
| UnitedHealthcare | $218 - $466 | 89% |
| Valir Pace [20503] | $218 | 89% |
| Wellfirst Health Mcr [20443] | $218 | 89% |
| St Johns Mercy Rehab Llc Contracted [320359] | $244 | 100% |
| St Johns Mercy Rehab Llc [20359] | $244 | 100% |
| Ambetter / Centene | $310 | 127% |
| Home State Health Plan Contracted [320187] | $310 | 127% |
| Novasys Contracted [320285] | $310 - $654 | 127% |
| Arkansas Department Of Health [20036] | $380 | 156% |
| Summit Community Care Contracted [320368] | $380 | 156% |
| Summit Community Care [20368] | $380 | 156% |
| United Medical Resources Contracted [320454] | $466 | 191% |
| Health Choice Contracted [320166] | $483 | 198% |
| Mercy Interfacility [20513] | $521 - $814 | 214% |
| Aither Health Contracted [320449] | $716 - $1,118 | 294% |
| Edison Health Solutions Contracted [320502] | $716 - $1,118 | 294% |
| Mercy Benefit Admin Contracted [320251] | $716 - $2,684 | 294% |
| Yuzu Health Contracted [320521] | $716 - $1,118 | 294% |
| Arkansas Total Care Contracted [320039] | $863 | 354% |
| Arkansas Total Care [20039] | $863 | 354% |
| Employers Health Coalition Contracted [320116] | $1,409 | 578% |
| Qual Choice Contracted [320324] | $1,414 | 580% |
| 90 Degree Benefits Contracted [320436] | $1,432 - $2,236 | 587% |
| Show-Me Health Administrators Contracted [320483] | $1,432 - $2,236 | 587% |
| Auxiant Contracted [320462] | $1,719 - $2,907 | 705% |
| Ebms Contracted [320493] | $1,719 - $2,684 | 705% |
| Healthlink Contracted [320179] | $1,719 - $2,907 | 705% |
| Imagine 360 Contracted [320494] | $1,719 - $2,684 | 705% |
| Reflect Health Contracted [320492] | $1,719 - $2,684 | 705% |
| Benefit Management Contracted [320052] | $1,862 - $2,907 | 764% |
| Federal Medical Center Contracted [320127] | $1,862 - $2,907 | 764% |
| Insurance System Inc Contracted [320465] | $1,862 - $2,907 | 764% |
| Personify Health Contracted [320051] | $1,862 - $2,907 | 764% |
| Point C Contracted [320238] | $1,862 - $2,907 | 764% |
| Preferred Health Plan Contracted [320522] | $1,862 - $2,907 | 764% |
| Tri State Healthcare Coalition Contracted [320379] | $1,862 - $2,907 | 764% |
| Workers Comp [20426] | $1,862 - $2,907 | 764% |
| First Health Contracted [320128] | $1,885 | 773% |
| Private Health Care Systems Contracted [320320] | $2,091 - $3,265 | 858% |
| Private Health Care Systems [20320] | $2,091 - $3,265 | 858% |
| Municipal Health Plan Contracted [320271] | $2,100 | 861% |
| Ppo Plus Contracted [320310] | $2,149 - $3,355 | 882% |
| Healthscope Contracted [320182] | $2,292 - $3,578 | 940% |
| Multiplan Contracted [320270] | $2,435 - $3,802 | 999% |
| Multiplan [20270] | $2,435 - $3,802 | 999% |