CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Healthone Mountain Ridge

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $6,335
Cash Discount Price: $13,773
vs. Medicare Baseline: 25.99x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Healthone Mountain Ridge is $6,335. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,773. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 25.99x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.

Cash / Self-Pay

$13,773

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,335

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: $13,773 (5650%)

Insurance Median: $6,335 (2599%)

Cash: $13,773 (5650% of Medicare)

Ins. Median: $6,335 (2599% 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 2599% of the Medicare baseline (a markup of 2499%). 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
Blue Cross Blue Shield	$155 - $21,938	64%
Life Source Services	$350	144%
Pinnacol Workers Comp	$377	155%
United	$391 - $13,341	160%
Multiplan	$393 - $26,681	161%
Rocky Mountain Health Plan	$518	212%
Vail Health	$1,504 - $4,506	617%
Aetna	$1,552 - $2,352	637%
Kaiser	$1,871 - $5,603	768%
Bright Health	$2,969 - $8,894	1218%
Colorado Program For Children With Special Needs	$3,365 - $10,080	1380%
Cigna	$6,335 - $18,973	2599%
Western Plains Community Health	$6,434 - $19,270	2639%
Northcare	$6,928 - $20,752	2842%
Physician Health Partners	$6,928 - $20,752	2842%
Medical Development International	$7,918 - $23,717	3248%
Prime Health	$8,908 - $26,681	3654%

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 $13,773.
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 HCA Healthone Mountain Ridge 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.