CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Sky Ridge Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $8,721
  • Cash Discount Price: $19,381
  • vs. Medicare Baseline: 35.78x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Sky Ridge Medical Center is $8,721. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,381. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 35.78x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.
Cash / Self-Pay
$19,381

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,721

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: $19,381 (7951%)
Insurance Median: $8,721 (3578%)
Cash: $19,381 (7951% of Medicare)
Ins. Median: $8,721 (3578% 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 3578% of the Medicare baseline (a markup of 3478%). 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
Blue Cross Blue Shield $155 - $14,343 64%
Pinnacol Workers Comp $377 155%
United $391 - $8,722 160%
Multiplan $393 - $17,445 161%
Rocky Mountain Health Plan $518 212%
Aetna $1,552 - $2,352 637%
Vail Health $2,946 1209%
Bright Health $5,814 - $5,815 2385%
Cigna $12,403 - $12,405 5088%
Western Plains Community Health $12,597 - $12,599 5168%
Northcare $13,565 - $13,568 5565%
Physician Health Partners $13,565 - $13,568 5565%
Medical Development International $15,503 - $15,506 6360%
Prime Health $17,441 - $17,445 7155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10101 Ridgegate Pkwy, Lone Tree, CO 80124
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals