CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Carle Hoopeston Regional Health Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $3,894
Cash Discount Price: $7,823
vs. Medicare Baseline: 15.97x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Carle Hoopeston Regional Health Center is $3,894. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,823. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.97x the Medicare baseline. Located in 701 East Orange Street, Hoopeston, IL.

Cash / Self-Pay

$7,823

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,894

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: $7,823 (3209%)

Insurance Median: $3,894 (1597%)

Cash: $7,823 (3209% of Medicare)

Ins. Median: $3,894 (1597% 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 1597% of the Medicare baseline (a markup of 1497%). 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
Aetna	$256 - $6,274	105%
Humana	$256 - $4,033	105%
Meridian	$782 - $1,643	321%
Blue Cross Blue Shield	$1,643 - $5,476	674%
Molina	$1,643 - $2,347	674%
UnitedHealthcare	$1,643 - $5,867	674%
Wellcare	$1,643 - $4,033	674%
Cigna	$6,102	2503%
Multiplan/Phcs	$6,258 - $6,650	2567%
Healthlink	$7,041	2888%

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 $7,823.
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 Carle Hoopeston Regional Health 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.