CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Buchanan County Health Center

Billing Code: 73721 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$825

about 3.4× the $244 Medicare rate · typically $216–$2,079

modeled estimate · not a bill or quote

Medicare pays $244 Fair price $825 Cash price $3,345 Hospital's list price $3,936

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,417 - $3,503	581%
Blue Cross Blue Shieldmajor	$1,378 - $3,936	565%
Aetnamajor	$1,417 - $3,542	581%
Cignamajor	$3,267	1340%
Humanamajor	$1,417 - $3,386	581%
HealthPartners	$1,417 - $3,386	581%
Molina	$1,378 - $3,936	565%
+ 2 smaller / regional plans	$1,378 - $3,936

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,345), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Buchanan County Health Center is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Buchanan County Health Center

Compare: MRI, knee or other leg joint at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.