CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Banner Estrella Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $1,071
  • Cash Discount Price: $450
  • vs. Medicare Baseline: 4.39x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Banner Estrella Medical Center is $1,071. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $450. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.39x the Medicare baseline. Located in 9201 West Thomas Road, Phoenix, AZ.
Cash / Self-Pay
$450

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,071

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: $450 (185%)
Insurance Median: $1,071 (439%)
Cash: $450 (185% of Medicare)
Ins. Median: $1,071 (439% 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 439% of the Medicare baseline (a markup of 339%). 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
Arizona Physicians Ipa $167 69%
Banner University Health Plan $167 69%
Health Choice Arizona, Inc. $167 - $1,190 69%
Health Net $167 - $1,285 69%
Mercy Care $167 69%
Aetna $476 - $1,373 195%
Blue Cross Blue Shield $772 - $1,029 317%
Hospice Of The Valley $833 342%
Arizona Priority Care $952 391%
UnitedHealthcare $988 - $1,165 405%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $1,071 439%
Plotkin Health $1,071 439%
Oscar Health Plan $1,190 488%
Quiktrip Corporation $1,285 527%
Cigna $1,346 - $1,496 552%
Arizona Medical Network $1,665 683%
Provider Network Of America $1,784 732%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9201 West Thomas Road, Phoenix, AZ 85037
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals