CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Hendricks Regional Health

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,185
Cash Discount Price: $565
vs. Medicare Baseline: 4.86x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Hendricks Regional Health is $1,185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $565. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.86x the Medicare baseline. Located in 1000 E Main St, Danville, IN.

Cash / Self-Pay

$565

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,185

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: $565 (232%)

Insurance Median: $1,185 (486%)

Cash: $565 (232% of Medicare)

Ins. Median: $1,185 (486% 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 486% of the Medicare baseline (a markup of 386%). 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	$252 - $1,040	103%
Humana	$252 - $1,752	103%
Va Ccn	$252	103%
Caresource Exchange	$257	105%
Medicare (plans)	$257 - $265	105%
Aetna	$260 - $1,992	107%
Ambetter / Centene	$505	207%
UnitedHealthcare	$848 - $1,511	348%
Encore Encircle Network	$989 - $1,484	406%
Sagamore Health Incumbent Program	$1,022 - $1,532	419%
Cigna	$1,046 - $1,568	429%
Sagamorehealth Network	$1,092 - $1,638	448%
Siho Commercial Network	$1,130 - $1,696	464%
Multiplan	$1,243 - $1,865	510%
Encore Health Network	$1,286 - $1,929	528%
Multiplan/Beech Street	$1,342 - $2,014	551%
Multiplan/ Complementary	$1,356 - $2,035	556%

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 $565.
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 Hendricks Regional 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.