CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Grinnell Regional Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $237
  • Cash Discount Price: $552
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Grinnell Regional Medical Center is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $552. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.97x the Medicare baseline. Located in 210 Fourth Avenue, Grinnell, IA.
Cash / Self-Pay
$552

Average discount available for prompt cash payment at this facility.

Insurance Median
$237

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: $552 (226%)
Insurance Median: $237 (97%)
Cash: $552 (226% of Medicare)
Ins. Median: $237 (97% 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
Aetna $59 - $3,589 24%
Blue Cross Blue Shield $61 - $542 25%
Molina $61 - $230 25%
Amerivantage $62 - $237 25%
Humana $62 - $237 25%
UnitedHealthcare $62 - $2,721 25%
Cigna $126 - $2,333 52%
Health Partners Open Network $131 - $1,181 54%
Wellmark Uph Self-Funded $142 - $461 58%
Amerigroup $240 98%
Iowa Total Care $240 98%
Medica Exchange Inspire $1,346 552%
Medica Exchange Insure $1,506 618%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 Fourth Avenue, Grinnell, IA 50112
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals