CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Keokuk County Health Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $959
  • Cash Discount Price: $872
  • vs. Medicare Baseline: 3.93x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Keokuk County Health Center is $959. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $872. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.93x the Medicare baseline. Located in 23019 Highway 149, Sigourney, IA.
Cash / Self-Pay
$872

Average discount available for prompt cash payment at this facility.

Insurance Median
$959

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: $872 (358%)
Insurance Median: $959 (393%)
Cash: $872 (358% of Medicare)
Ins. Median: $959 (393% 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 393% of the Medicare baseline (a markup of 293%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Wellmark_Insurance $720 - $959 295%
United_Healthcare_Insurance $872 - $959 358%
Aetna $959 - $1,059 393%
Humana $959 393%
Wellcare_Insurance $959 393%
Wellpoint_Insurance $959 - $997 393%
Iowa_Total_Care_Insurance $997 409%
Molina_Insurance $997 409%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 23019 Highway 149, Sigourney, IA 52591
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals