CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Loyola Gottlieb Memorial Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$324

about 1.3× the $244 Medicare rate · typically $263–$758

modeled estimate · not a bill or quote

What this hospital charges insurers

$271

Below the fair price — a good deal

about $53 under the fair price · 1.1× Medicare

Medicare pays $244 Fair price $324 This hospital $271 Cash price $1,028 Hospital's list price $5,410

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $63 Priciest $271

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $324 (about 1.3× the $244 Medicare rate). Loyola Gottlieb Memorial Hospital charges insurers about $271, or about $1,028 in cash — below the fair price — a good deal. Located in Melrose Park, IL.

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	$1,858 - $2,026	762%
Blue Cross Blue Shieldmajor	$234 - $4,518	96%
Aetnamajor	$252 - $4,739	103%
Cignamajor	$260 - $2,106	107%
Humanamajor	$258 - $807	106%
Ambetter (Centene)	$265	109%
Meridian	$236 - $292	97%
Molina	$236 - $315	97%
Oscar Health	$277	114%
WellCare	$265	109%

Government programs also on file: Military & VA.

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 1,028), 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 Loyola Gottlieb Memorial Hospital 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 Loyola Gottlieb Memorial Hospital

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

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