CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Franciscan Health Dyer

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$638

about 2.6× the $244 Medicare rate · typically $295–$762

modeled estimate · not a bill or quote

What this hospital charges insurers

$677

About the fair price

about $39 over the fair price · 2.8× Medicare

Medicare pays $244 Fair price $638 This hospital $677 Cash price $1,956 Hospital's list price $7,245

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $65 Priciest $677

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a MRI, knee or other leg joint is about $638 (about 2.6× the $244 Medicare rate). Franciscan Health Dyer charges insurers about $677, or about $1,956 in cash — about the fair price. Located in Dyer, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,793 - $1,970	736%
Blue Cross Blue Shieldmajor	$360 - $7,631	148%
Aetnamajor	$529	217%
Cignamajor	$1,150 - $3,381	472%
UniCare	$360 - $804	148%
+ 4 smaller / regional plans	$505 - $9,660

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,956), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Franciscan Health Dyer is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Franciscan Health Dyer

Compare: MRI, knee or other leg joint at other IN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.