CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Loyola University Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $807
Cash Discount Price: $1,244
vs. Medicare Baseline: 3.31x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Loyola University Medical Center is $807. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,244. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.31x the Medicare baseline. Located in 2160 S 1St Avenue, Maywood, IL.

Cash / Self-Pay

$1,244

Average discount available for prompt cash payment at this facility.

Insurance Median

$807

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: $1,244 (510%)

Insurance Median: $807 (331%)

Cash: $1,244 (510% of Medicare)

Ins. Median: $807 (331% 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 331% of the Medicare baseline (a markup of 231%). 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
Blue Cross Blue Shield	$234 - $5,551	96%
Aetna	$252 - $4,642	103%
Humana	$258 - $807	106%
Cigna	$260 - $2,106	107%
Molina	$265 - $342	109%
Wellcare	$265	109%
Oscar Ifp	$277	114%
Meridian	$287 - $342	118%
Molina Marketplace Ifp	$370	152%
UnitedHealthcare	$3,036 - $3,310	1245%

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 $1,244.
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 Loyola University Medical Center 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.