MRI, knee or other leg joint
Facility: University Of Kansas Hospital
Billing Code: 73721 (CPT)
- CPT Billing Code: 73721
- Insurance Median: $3,736
- Cash Discount Price: $1,517
- vs. Medicare Baseline: 15.33x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1533% of the Medicare baseline (a markup of 1433%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Lasso Healthcare [503999926] | $223 | 91% |
| Medicare (plans) | $223 - $227 | 91% |
| Workers Comp [503999901] | $223 - $9,604 | 91% |
| Tricare | $223 | 91% |
| Aetna | $223 - $312 | 91% |
| Humana | $223 - $227 | 91% |
| Devoted [503200068] | $223 | 91% |
| UnitedHealthcare | $223 - $356 | 91% |
| Triwest [503201703] | $223 | 91% |
| Ku Athletics [503200094] | $223 | 91% |
| Allwell [503200078] | $229 | 94% |
| Blue Cross Blue Shield | $229 - $7,759 | 94% |
| American Health Plans [503200968] | $234 | 96% |
| Oscar [503201609] | $267 | 110% |
| Centurion [5032000966] | $290 | 119% |
| Wellfit [503301514] | $368 | 151% |
| Centivo [5032000982] | $368 | 151% |
| Ambetter / Centene | $379 | 155% |
| 6 Degrees Health [503999050] | $390 - $557 | 160% |
| Alt Wppa [5032000964] | $446 - $6,125 | 183% |
| Occunet [503999930] | $468 | 192% |
| Fort Hays State Student Athletes [5032000960] | $468 | 192% |
| Claimdoc [503301509] | $601 | 247% |
| Multiplan [503200057] | $601 | 247% |
| Advanced Medical Pricing Solutions [503301513] | $668 | 274% |
| Larned State Hospital [503200090] | $1,491 - $2,982 | 612% |
| Health Plan Inc [503999941] | $2,376 - $4,752 | 975% |
| Alt Carelon Behavioral Health [503200905] | $2,528 - $5,055 | 1037% |
| Accarent Health [503999034] | $2,528 - $5,055 | 1037% |
| Php [503200005] | $3,033 - $7,471 | 1244% |
| Allied National [503999937] | $3,033 - $6,066 | 1244% |
| Geha [503200036] | $3,062 - $6,125 | 1256% |
| Med-Pay [503200040] | $3,062 - $6,125 | 1256% |
| Healthlink [503200007] | $3,062 - $7,471 | 1256% |
| Inter-Americas Insurance [503999032] | $3,062 - $6,125 | 1256% |
| Cerner [503200038] | $3,062 - $6,125 | 1256% |
| Aha-Healthcare Preferred [503200050] | $3,331 - $6,662 | 1366% |
| First Health [5032000110] | $3,331 - $6,662 | 1366% |
| Coeur Plan Services [503301517] | $3,538 - $7,077 | 1451% |
| Correct Care Solutions [50311253] | $3,538 - $7,077 | 1451% |
| Consolidated Billing [50311256] | $3,538 - $7,077 | 1451% |
| Ascension Living Hope [503201517] | $3,538 - $7,077 | 1451% |
| Orscheln Industries [503201608] | $3,791 - $7,582 | 1555% |
| Alt Lucent Health Solutions [503202603] | $3,880 - $7,759 | 1592% |
| Empire Plan/Nyship [503200705] | $3,880 - $7,759 | 1592% |
| Alt Lineco [5032000976] | $3,880 - $7,759 | 1592% |
| Cigna | $4,044 - $8,088 | 1659% |
| Quiktrip [5032000412] | $4,044 - $8,088 | 1659% |
| Point Comfort Underwriters [503200018] | $4,044 - $8,088 | 1659% |
| Century Health Solutions [503200054] | $4,044 - $8,088 | 1659% |
| Meritain Health [503200039] | $4,246 - $8,492 | 1742% |
| Wppa [503200056] | $4,246 - $8,492 | 1742% |
| Employers Health Network [503999025] | $4,550 - $9,099 | 1867% |
| Usa Managed Care [503999030] | $4,550 - $9,099 | 1867% |
| Sanford Health Plan [503999027] | $4,550 - $9,099 | 1867% |
| Three Rivers Provider Network [503999029] | $4,550 - $9,099 | 1867% |
| Plan Care America [503999026] | $4,550 - $9,099 | 1867% |
Consumer Guidance & Cost Commentary
For this MRI procedure at the University Of Kansas Hospital, the most significant benchmark is the state average, which sits at $1517, while the facility's gross charge is listed at $7583. The facility's cash median rate is $1517, which matches the state average exactly, whereas the median negotiated rate for commercial payers is $3736. This demonstrates that for patients without insurance, paying out-of-pocket directly could result in a price identical to the state average, significantly lower than the amount an insurer would contractually agree to pay.
The data reveals stark variations in pricing depending on the insurance payer, with the lowest negotiated rate being $223 for plans like Lasso Healthcare and Tricare, and the highest reaching $9099 for networks such as Employers Health Network and Usa Managed Care. Because the median negotiated rate ($3736) exceeds the cash price ($1517), patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, provided they secure a "self-pay" or "prompt-pay" discount from the hospital prior to treatment. It is important to remember that commercial rates often include administrative overhead and do not reflect the actual cost of care, which is better represented by the Medicare amount of $243.77; therefore, any commercial rate above this baseline represents a markup rather than a true market value.