CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Morris Hospital & Healthcare Centers

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $3,735
Cash Discount Price: $1,518
vs. Medicare Baseline: 15.32x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Morris Hospital & Healthcare Centers is $3,735. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,518. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.32x the Medicare baseline. Located in 150 W High St, Morris, IL.

Cash / Self-Pay

$1,518

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,735

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: $1,518 (623%)

Insurance Median: $3,735 (1532%)

Cash: $1,518 (623% of Medicare)

Ins. Median: $3,735 (1532% 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 1532% of the Medicare baseline (a markup of 1432%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Choicecare Hum Mcr Ppo	$256	105%
UnitedHealthcare	$256 - $5,830	105%
Aetna	$261 - $4,649	107%
Health Alliance Mcr Adv	$263	108%
Caterpillar - All Plans	$1,000	410%
Blue Cross Blue Shield	$2,180 - $3,634	894%
Cigna	$2,226 - $5,678	913%
Capp Care Ppo-Oth	$2,423 - $3,634	994%
Ambetter / Centene	$3,533 - $5,300	1449%
Choicecare Hum Othr - All Other Plans	$4,038 - $6,057	1656%
Multiplan - All Other Plans	$4,038 - $6,057	1656%
Multiplan Prime Ntwrk	$4,038 - $6,057	1656%
Health Alliance - All Other Plans	$4,290 - $6,435	1760%
Hfn All Plans - All Plans	$4,290 - $6,435	1760%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,518.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Morris Hospital & Healthcare Centers is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73721.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.