CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mercy Regional Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $5,343
Cash Discount Price: $3,315
vs. Medicare Baseline: 21.92x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mercy Regional Medical Center is $5,343. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,315. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 21.92x the Medicare baseline. Located in 1010 Three Springs Blvd, Durango, CO.

Cash / Self-Pay

$3,315

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,343

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: $3,315 (1360%)

Insurance Median: $5,343 (2192%)

Cash: $3,315 (1360% of Medicare)

Ins. Median: $5,343 (2192% 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 2192% of the Medicare baseline (a markup of 2092%). 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
Aetna	$143 - $8,576	59%
Blue Cross Blue Shield	$143 - $8,576	59%
Cigna	$143 - $8,381	59%
Denver Health	$143 - $2,875	59%
Humana	$143 - $8,283	59%
Innovage	$143	59%
Kaiser	$143	59%
Medicare (plans)	$143	59%
Rocky Mountain Pace	$143	59%
UnitedHealthcare	$143 - $518	59%
Archdiocese Of Denver	$443	182%
United Colorado Doctor'S Plan	$518	212%
Centura Employee Plan	$543	223%
Direct To Employer	$4,439 - $6,334	1821%
Presbyterian Health Plan	$5,121 - $7,309	2101%
Multiplan	$6,146 - $8,770	2521%

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 $3,315.
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 Mercy Regional Medical Center 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.