CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Memorial Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $3,796
  • Cash Discount Price: $6,327
  • vs. Medicare Baseline: 15.57x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Memorial Medical Center is $3,796. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,327. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.57x the Medicare baseline. Located in 701 N First St, Springfield, IL.
Cash / Self-Pay
$6,327

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,796

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: $6,327 (2595%)
Insurance Median: $3,796 (1557%)
Cash: $6,327 (2595% of Medicare)
Ins. Median: $3,796 (1557% 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 1557% of the Medicare baseline (a markup of 1457%). 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
Veterans Administration $181 74%
Blue Cross Blue Shield $189 - $6,327 78%
Aetna $252 - $4,809 103%
Health Alliance $252 - $4,113 103%
Medicare (plans) $252 - $6,327 103%
Tricare $252 103%
UnitedHealthcare $252 - $3,923 103%
Humana $264 - $3,796 108%
Medicaid / KanCare $303 124%
Molina $309 127%
Healthlink $1,006 - $3,986 413%
Commercial Workers Compensation $1,506 618%
Illinois Workers Compensation $1,585 650%
Cigna $1,838 754%
Current Health Network Ppo $2,847 1168%
Phcs/Multiplan $3,417 - $3,796 1402%
6 Degrees Health $3,796 1557%
Hopetrust $3,796 1557%
Hst $3,796 1557%
Magellan $3,796 1557%
Consociate $4,113 1687%
Hfn $4,113 1687%
Preferred Plan $4,745 1947%
Soi Mcfarland $4,745 1947%
Soi Rushville $4,745 1947%
Corvel $5,062 2077%
Methodist First Choice $5,062 2077%
Mutual Medical Plans $5,378 2206%
Liability $6,327 2595%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N First St, Springfield, IL 62702
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals