CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Saint Francis Hospital-Evanston

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $267
  • Cash Discount Price: $254
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Saint Francis Hospital-Evanston is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $254. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.10x the Medicare baseline. Located in 355 Ridge Ave, Evanston, IL.
Cash / Self-Pay
$254

Average discount available for prompt cash payment at this facility.

Insurance Median
$267

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: $254 (104%)
Insurance Median: $267 (110%)
Cash: $254 (104% of Medicare)
Ins. Median: $267 (110% 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
Ravenswood Physicians Associates Ipa $143 - $254 59%
Resurrection Physicians Provider Group Ipa $143 - $254 59%
Blue Cross Blue Shield $242 - $356 99%
Aetna $254 - $1,090 104%
Celtic (Wellcare) $254 104%
Cigna $254 - $1,200 104%
Clear Spring Health Of Illinois $254 104%
Devoted Health $254 104%
Essential Health Partners $254 - $293 104%
Humana $254 - $303 104%
Illinois Physicians Alliance $254 104%
Longevity Health Plan Of Illinois $254 104%
Medicare (plans) $254 104%
Self-Pay $254 104%
Tricare $254 104%
UnitedHealthcare $254 - $563 104%
Molina $262 - $382 107%
Zing Health Provider Network $262 107%
Meridian $267 - $318 110%
Provider Partners Health Plan (Pphp) $267 110%
Countycare $303 124%
Medicaid / KanCare $303 124%
Standard Eapg Logic - Contracts $303 124%
Access Community Health Network $305 125%
Clifton Health Systems $394 162%
Ambetter / Centene $412 169%
Imagine Health Network, Inc. $927 380%
Hfn Inc (Healthcare Finest Network) $1,894 777%
Coventry $1,934 793%
Workers Comp $1,934 793%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 355 Ridge Ave, Evanston, IL 60202
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals