CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Gunnison Valley Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,283
Cash Discount Price: $1,817
vs. Medicare Baseline: 5.26x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Gunnison Valley Hospital is $1,283. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,817. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.26x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$1,817

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,283

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: $1,817 (745%)

Insurance Median: $1,283 (526%)

Cash: $1,817 (745% of Medicare)

Ins. Median: $1,283 (526% 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 526% of the Medicare baseline (a markup of 426%). 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
Occumed Op Only-All Plans	$45	18%
Cigna	$56 - $2,097	23%
Medicare (plans)	$63 - $1,048	26%
Aetna	$91 - $2,054	37%
Apostrophe-All Plans	$103 - $1,925	42%
Gunnison County Sheriff Op & Profee Only	$221 - $1,098	91%
Medicaid / KanCare	$226 - $326	93%
Ebms Hdhp	$258 - $1,284	106%
Tetwp Op & Profee Only-All Plans	$258 - $1,284	106%
U Of Co Transplant-All Plans	$258 - $1,284	106%
Ebms Ppo Plan-All Other Plans	$301 - $1,498	123%
Gunnison County Employees-All Other Plans	$344 - $1,711	141%
Scottish Rites-All Plans	$344 - $1,711	141%
Elap Employers-All Plans	$366 - $1,818	150%
Blue Cross Blue Shield	$377 - $1,875	155%
Multiplan-All Plans	$387 - $1,990	159%
Rocky Mountain Health-All Plans	$409 - $2,032	168%
UnitedHealthcare	$409 - $2,032	168%
Cofinity-All Plans	$413 - $2,054	169%
Gunnison County Coroner Op Only	$1,097 - $1,098	450%

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 $1,817.
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 Gunnison Valley Hospital 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.