CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Medical Center of the Rockies

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,120
Cash Discount Price: $1,841
vs. Medicare Baseline: 4.59x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Medical Center of the Rockies is $1,120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,841. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.59x the Medicare baseline. Located in 2500 Rocky Mountain Ave, Loveland, CO.

Cash / Self-Pay

$1,841

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,120

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: $1,841 (755%)

Insurance Median: $1,120 (459%)

Cash: $1,841 (755% of Medicare)

Ins. Median: $1,120 (459% 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 459% of the Medicare baseline (a markup of 359%). 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	$243 - $2,175	100%
Blue Cross Blue Shield	$243 - $1,635	100%
Cigna	$243 - $1,187	100%
Cms	$243	100%
Devoted Health	$243	100%
Humana	$243	100%
Kaiser	$243	100%
Select Health	$243 - $1,120	100%
UnitedHealthcare	$243 - $1,274	100%
Simplified Benefits Administration	$574 - $2,078	235%
First Health	$1,552	637%
Denver Health Medical Plan	$2,051	841%
Midlands Choice	$2,367	971%
Rocky Mountain Health Plans	$2,367	971%
Multiplan	$2,393	982%
Phcs	$2,393	982%
First Choice Of The Midwest	$2,551	1046%

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 $1,841.
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 Medical Center of the Rockies 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.