CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Memorial Hospital and Health Care Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $187
Cash Discount Price: $96
vs. Medicare Baseline: 0.77x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Memorial Hospital and Health Care Center is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.77x the Medicare baseline. Located in 800 W 9Th St, Jasper, IN.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$187

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: $96 (39%)

Insurance Median: $187 (77%)

Cash: $96 (39% of Medicare)

Ins. Median: $187 (77% 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.

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	$51 - $401	21%
Aetna	$60 - $668	25%
Caresource In Marketplace	$60 - $317	25%
Humana	$60 - $253	25%
Mdwise	$60 - $191	25%
Mhs Hoosier Care Connect	$60 - $191	25%
Tricare	$60 - $215	25%
Chamber Care	$61	25%
UnitedHealthcare	$66 - $760	27%
Immergrun	$71 - $224	29%
Ambetter / Centene	$77 - $329	32%
Onecare	$77 - $243	32%
Siho	$77 - $243	32%
Noncontracted	$95 - $405	39%
Patoka Valley	$102 - $742	42%
Encore	$103 - $707	42%
Encore Elite +	$103 - $707	42%
Cigna	$210 - $668	86%
Sagamore	$210 - $668	86%

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 $96.
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 Memorial Hospital and Health Care Center 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.