CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Banner-University Medical Center South Campus

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,482
Cash Discount Price: $586
vs. Medicare Baseline: 6.08x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Banner-University Medical Center South Campus is $1,482. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $586. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.08x the Medicare baseline. Located in 2800 East Ajo Way, Tucson, AZ.

Cash / Self-Pay

$586

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,482

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: $586 (240%)

Insurance Median: $1,482 (608%)

Cash: $586 (240% of Medicare)

Ins. Median: $1,482 (608% 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 608% of the Medicare baseline (a markup of 508%). 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
Arizona Physicians Ipa	$167	69%
Banner University Health Plan	$167	69%
Health Choice Arizona, Inc.	$167 - $1,853	69%
Health Net	$167 - $2,001	69%
Mercy Care	$167	69%
Blue Cross Blue Shield	$464 - $878	190%
Aetna	$741 - $2,138	304%
UnitedHealthcare	$1,165	478%
Cigna	$1,269	521%
University Of Arizona (Kasser Medical Treatment Center)	$1,297	532%
Arizona Priority Care	$1,482	608%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$1,668	684%
Plotkin Health	$1,668	684%
Oscar Health Plan	$1,853	760%
Quiktrip Corporation	$2,001	821%
Provider Network Of America	$2,780	1140%
Arizona Medical Network	$2,965	1216%

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 $586.
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 Banner-University Medical Center South Campus 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.