CMS Price Transparency Data

MRI, knee or other leg joint

Facility: East Morgan County Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $225
  • Cash Discount Price: $142
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at East Morgan County Hospital is $225. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.92x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.
Cash / Self-Pay
$142

Average discount available for prompt cash payment at this facility.

Insurance Median
$225

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: $142 (58%)
Insurance Median: $225 (92%)
Cash: $142 (58% of Medicare)
Ins. Median: $225 (92% 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.

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
Pinnacol Assurance Workers Comp $59 - $1,007 24%
Aetna $60 - $2,223 25%
Banner Health $60 - $1,028 25%
Blue Cross Blue Shield $60 - $2,057 25%
Clear Spring Health $60 - $1,028 25%
Healthspring Life & Health Insurance Company, Inc. $60 - $1,028 25%
Medica $60 - $1,991 25%
Medicare (plans) $60 - $1,028 25%
Triwest Healthcare Alliance Corp - Va Ccn $60 - $1,028 25%
UnitedHealthcare $60 - $2,223 25%
Longevity $62 - $1,059 25%
Humana $63 - $1,089 26%
Devoted Health Services $66 - $1,130 27%
Assist Health Group $72 - $1,233 30%
Denver Health Medical Plan $111 - $1,912 46%
Apostrophe, Inc. $125 - $2,151 51%
First Choice Health Network $125 - $2,151 51%
Hue Health, Inc $132 - $2,270 54%
Rocky Mountain Health Plans $132 - $2,270 54%
Multiplan $135 - $2,318 55%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 W Edison St, Brush, CO 80723
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals