CMS Price Transparency Data

MRI, knee or other leg joint

Facility: UW Health

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $244
Cash Discount Price: $646
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at UW Health is $244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $646. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.00x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$646

Average discount available for prompt cash payment at this facility.

Insurance Median

$244

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: $646 (265%)

Insurance Median: $244 (100%)

Cash: $646 (265% of Medicare)

Ins. Median: $244 (100% 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.

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
Aetna	$122 - $2,148	50%
Blue Cross Blue Shield	$122 - $4,035	50%
Humana	$122 - $244	50%
Medicare (plans)	$122 - $268	50%
Mychoice Wi Medical Adv	$122 - $244	50%
UnitedHealthcare	$122 - $2,287	50%
Medicaid / KanCare	$130	53%
Quartz Aso	$204 - $1,625	84%
Quartz Fully Insured	$204 - $1,032	84%
Cigna	$223 - $2,375	91%
Ecoh	$270 - $2,342	111%
Hfn	$270 - $2,342	111%
Alliance Premier Network	$298 - $1,624	122%
The Alliance	$323 - $2,090	133%
Workers Comp	$1,605	658%
Wps	$2,017	827%
Wps Ppo	$2,301	944%
Beloit Healt System	$2,340 - $2,685	960%
Mercycare	$2,777	1139%
Mercy Care	$2,824	1158%
First Health/Coventry	$2,926	1200%
Health Payment Systems	$3,472	1424%
Healthsmart	$3,472	1424%
Sheboygan Employers Health Network	$3,703	1519%
Multiplan	$4,138	1698%

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 $646.
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 UW Health 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.