CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Hancock Regional Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,310
  • Cash Discount Price: $2,295
  • vs. Medicare Baseline: 9.48x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Hancock Regional Hospital is $2,310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,295. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.48x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$2,295

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,310

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: $2,295 (941%)
Insurance Median: $2,310 (948%)
Cash: $2,295 (941% of Medicare)
Ins. Median: $2,310 (948% 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 948% of the Medicare baseline (a markup of 848%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $129 - $3,214 53%
Mhs/Mdwise Mcaid-All Plans $129 53%
UnitedHealthcare $129 - $3,336 53%
Iu Health Mcr Adv $252 103%
Triwest - All Plans $252 103%
Va Ccn - All Plans $252 103%
Caresource Mcr Adv $257 105%
Beech Street Mcr Adv $260 107%
Humana $260 - $4,089 107%
Allwell Mcr Adv - All Plans $265 109%
Communicare Mcr Adv - All Plans $265 109%
Ambetter / Centene $505 207%
Caresource Comm - All Other Plans $631 259%
Iu Health-All Other Plans $694 285%
Ascension - All Plans $1,614 - $3,228 662%
Aetna $1,636 - $4,304 671%
Cigna $1,722 - $3,443 706%
Encore Encircle $1,722 - $3,443 706%
Hancock Phys Network-All Plans $1,722 - $3,443 706%
Unified Group Services- All Plans $1,722 - $3,443 706%
Advantage Self Funded Ppo-All Other Plans $1,765 - $3,529 724%
Healthmark/Healthchoice-All Plans $1,765 - $3,529 724%
Sagamore-All Plans $1,765 - $3,529 724%
Encore-All Other Plans $1,829 - $3,658 750%
Consumers Life-All Plans $1,894 - $3,788 777%
St Vincent Cmo-All Plans $1,894 - $3,788 777%
Siho-All Plans $1,937 - $3,874 795%
Great West-All Plans $1,980 - $3,960 812%
Savility - All Plans $1,980 - $3,960 812%
Cofinity/Ppom - All Plans $2,001 - $4,003 821%
First Health/Coventry-All Plans $2,023 - $4,046 830%
Mail Handlers-All Plans $2,023 - $4,046 830%
Golden Rule Ins-All Plans $2,044 - $4,089 838%
Indiana Health Network-All Plans $2,044 - $4,089 838%
Phcs-All Plans $2,044 - $4,089 838%
Beech Street Ppo - All Other Plans $2,066 - $4,132 848%
Comm Hlth Alliance - All Plans $2,087 - $4,175 856%
Multiplan-All Plans $2,109 - $4,218 865%
Advantage Preferred Plus $2,152 - $4,304 883%
Healthy Indiana Plan-All Plans $2,152 - $4,304 883%
Copps - All Plans $4,432 - $8,865 1818%
Pro Health - All Plans $6,456 - $12,912 2648%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals