CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Deaconess Hospital Inc

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $241
  • Cash Discount Price: $674
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Deaconess Hospital Inc is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $674. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.99x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$674

Average discount available for prompt cash payment at this facility.

Insurance Median
$241

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: $674 (276%)
Insurance Median: $241 (99%)
Cash: $674 (276% of Medicare)
Ins. Median: $241 (99% 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.

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
UnitedHealthcare $55 - $860 23%
Caresource In Marketplace $96 - $431 39%
Ky Racing Health & Welfare Fund $96 - $674 39%
Self-Pay $96 - $674 39%
Mhnet $105 43%
Ambetter / Centene $127 - $739 52%
Blue Cross Blue Shield $127 - $627 52%
Humana $127 - $739 52%
Medicare (plans) $127 - $241 52%
Meridiancare (Il) $127 - $241 52%
Molina (Il) Mmai $127 - $241 52%
Molina Il $127 - $241 52%
Mytru Advantage $127 - $241 52%
Patoka Valley Health Care (80/20 Plan) $127 - $739 52%
Patoka Valley Health Care (90/10 Plan) $127 - $739 52%
Triwest Vapc3 $127 - $229 52%
Wellcare (Il) Mmai $127 - $241 52%
Center Care Narrow Select $128 - $1,204 53%
Center Care Open Access $128 - $1,306 53%
Aetna $130 - $900 53%
Medicaid / KanCare $130 - $510 53%
Meridiancomplete (Il) $130 - $241 53%
Meridianhealth (Il) $130 53%
Youthcare (Meridian Il) $130 53%
Youthcare (Wellcare Il) $130 53%
Caresource In $131 54%
United Behavioral Health $148 61%
Allied National $165 - $1,225 68%
Chamber Care $165 - $739 68%
Cigna $165 - $1,429 68%
Claimdoc $165 - $1,225 68%
Deaconess Onecare $165 - $481 68%
Healthscope $165 - $1,219 68%
Hopetrust $165 - $739 68%
Hstechnology $165 - $739 68%
Iu Health Network $165 - $1,168 68%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $165 - $1,167 68%
Alliance Coal $176 - $801 72%
Parkview Signature Care $187 - $1,388 77%
Claritev (Formerly Phcs Multiplan) $192 - $1,124 79%
First Health $192 - $1,510 79%
Noncontracted $204 - $385 84%
Encircle/Encore Combined $206 - $986 85%
Encircle/Encore Elite+ $206 - $986 85%
Encircle/Encore Prime $206 - $986 85%
Healthlink $206 - $1,735 85%
Naphcare $210 - $397 86%
National Rural Electric $242 - $1,796 99%
Immergrun $853 350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals