CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Fhn Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $3,140
  • Cash Discount Price: $2,393
  • vs. Medicare Baseline: 12.88x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Fhn Memorial Hospital is $3,140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,393. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 12.88x the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.
Cash / Self-Pay
$2,393

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,140

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: $2,393 (982%)
Insurance Median: $3,140 (1288%)
Cash: $2,393 (982% of Medicare)
Ins. Median: $3,140 (1288% 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 1288% of the Medicare baseline (a markup of 1188%). 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
Meridian Health Plan - All Plans $61 - $209 25%
Aetna $63 - $2,776 26%
Health Alliance Mcr Adv $63 - $256 26%
Humana $63 - $3,942 26%
Quartz Mcr Adv $63 - $256 26%
UnitedHealthcare $63 - $3,887 26%
Osf Healthplans - All Plans $110 - $4,984 45%
Ecoh Nihp $133 - $3,140 55%
Blue Cross Blue Shield $134 - $3,364 55%
Ecoh - All Other Plans $147 - $3,389 60%
Nihp Employ - All Plans $147 - $3,140 60%
The Alliance - All Plans $175 - $2,988 72%
Quartz - All Other Plans $604 - $3,239 248%
Northern Il Hp - All Plans $695 - $3,439 285%
Hfn - All Plans $856 - $4,087 351%
Galaxy - All Plans $906 - $4,485 372%
Health Alliance - All Other Plans $906 - $4,485 372%
Interplan Health - All Plans $906 - $4,485 372%
Midland Choice - All Plans $906 - $4,735 372%
Multiplan Phcs - All Plans $906 - $4,236 372%
Preferred Plan Ppo - All Plans $906 - $4,485 372%
Wps - All Plans $906 - $4,356 372%
Trustmark - All Plans $926 - $4,585 380%
First Health - All Plans $3,495 - $3,504 1434%
First Choice Il - All Plans $4,226 - $4,236 1734%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1045 West Stephenson Street, Freeport, IL 61032
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals