CMS Price Transparency Data

MRI, knee or other leg joint

Facility: East Morgan County Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$198

about 0.8× the $244 Medicare rate · typically $136–$711

modeled estimate · not a bill or quote

Medicare pays $244 Fair price $198 Cash price $142 Hospital's list price $278

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$60 - $2,223	25%
Blue Cross Blue Shieldmajor	$60 - $2,057	25%
Aetnamajor	$60 - $2,223	25%
Humanamajor	$63 - $1,089	26%
Banner Health	$60 - $1,028	25%
Cigna HealthSpring	$60 - $1,028	25%
Devoted Health	$66 - $1,130	27%
Health Net	$125 - $2,151	51%
Medica	$60 - $1,991	25%
+ 7 smaller / regional plans	$60 - $2,270

Government programs also on file: Medicare, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 142), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm East Morgan County Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at East Morgan County Hospital

Compare: MRI, knee or other leg joint at other CO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.