CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Jacksonville Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,424
Cash Discount Price: $4,800
vs. Medicare Baseline: 9.94x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Jacksonville Memorial Hospital is $2,424. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,800. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.94x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$4,800

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,424

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: $4,800 (1969%)

Insurance Median: $2,424 (994%)

Cash: $4,800 (1969% of Medicare)

Ins. Median: $2,424 (994% 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 994% of the Medicare baseline (a markup of 894%). 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	$179 - $4,800	73%
Tricare	$188 - $875	77%
Coventry	$189 - $756	78%
Health Alliance	$189 - $3,264	78%
Humana	$189 - $4,094	78%
Medicare (plans)	$189 - $756	78%
UnitedHealthcare	$199 - $3,456	82%
Medicaid / KanCare	$473	194%
Molina Healthcare	$473	194%
Corvel/Corcare	$1,331 - $1,363	546%
Illinois Workers Compensation	$1,429 - $1,684	586%
Commercial Workers Compensation	$1,599	656%
Health Alliance Mh Employee Plan	$2,208	906%
Current Health Network	$2,640 - $3,600	1083%
6 Degrees Health	$2,880	1181%
Hope Trust	$2,880	1181%
Hst	$2,880	1181%
Cigna	$3,326	1364%
Aetna	$3,355 - $3,840	1376%
Healthlink	$4,080	1674%
Phcs/Multiplan	$4,320	1772%
Hfn	$4,560	1871%
Liability	$4,800	1969%

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 $4,800.
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 Jacksonville Memorial Hospital 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.