CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Kapiolani Medical Center for Women & Children

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $670
Cash Discount Price: $1,720
vs. Medicare Baseline: 2.75x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Kapiolani Medical Center for Women & Children is $670. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,720. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.75x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.

Cash / Self-Pay

$1,720

Average discount available for prompt cash payment at this facility.

Insurance Median

$670

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: $1,720 (706%)

Insurance Median: $670 (275%)

Cash: $1,720 (706% of Medicare)

Ins. Median: $670 (275% 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 275% of the Medicare baseline (a markup of 175%). 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
Mdx	$226 - $242	93%
Alohacare	$242 - $266	99%
Hmsa	$242 - $729	99%
Kaiser	$242 - $2,522	99%
Devoted	$254	104%
Ohana	$290 - $837	119%
Hwmg/Hmaa	$412	169%
UnitedHealthcare	$594	244%
Pac Admin	$670	275%
Uha	$676 - $1,433	277%
Mimoh	$2,006 - $2,150	823%
Hcha	$2,293	941%
Multiplan	$2,293 - $2,436	941%
Verdegard	$2,293	941%
Mccp	$2,436	999%
Coventry	$2,579	1058%

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 $1,720.
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 Kapiolani Medical Center for Women & Children 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.