CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Decatur County Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $742
Cash Discount Price: $1,096
vs. Medicare Baseline: 3.04x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Decatur County Memorial Hospital is $742. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,096. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.04x the Medicare baseline. Located in 720 North Lincoln Street, Greensburg, IN.

Cash / Self-Pay

$1,096

Average discount available for prompt cash payment at this facility.

Insurance Median

$742

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: $1,096 (450%)

Insurance Median: $742 (304%)

Cash: $1,096 (450% of Medicare)

Ins. Median: $742 (304% 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 304% of the Medicare baseline (a markup of 204%). 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
UnitedHealthcare	$30 - $2,598	12%
Aetna	$60 - $1,945	25%
Blue Cross Blue Shield	$60 - $2,350	25%
Caresource Mcr Adv	$60 - $779	25%
Choice Care Mcr Adv	$60 - $742	25%
Choicecare Commercial-All Other Plans	$60 - $2,380	25%
Encircle-All Plans	$60 - $2,061	25%
Siho Mcr Adv	$60 - $742	25%
Thcg/Encore-All Plans	$60 - $2,405	25%
Caresource Just4Me-All Other Plans	$69 - $1,262	28%
Cigna	$73 - $1,500	30%
Medicaid / KanCare	$129 - $187	53%
Siho-All Other Plans	$255 - $2,482	105%
Sagamore Health-All Plans	$291 - $2,047	119%
Healthsource Indiana-All Plans	$328 - $2,303	135%

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 $1,096.
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 Decatur County Memorial Hospital 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.