CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Labette Health

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $442
  • Cash Discount Price: $1,872
  • vs. Medicare Baseline: 1.81x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Labette Health is $442. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,872. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.81x the Medicare baseline. Located in 1902 South Us Hwy 59, Parsons, KS.
Cash / Self-Pay
$1,872

Average discount available for prompt cash payment at this facility.

Insurance Median
$442

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: $1,872 (768%)
Insurance Median: $442 (181%)
Cash: $1,872 (768% of Medicare)
Ins. Median: $442 (181% 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
Medicaid / KanCare $132 - $1,533 54%
Healthy Blue $134 - $238 55%
Wellcare $224 92%
Humana $224 92%
UnitedHealthcare $224 - $2,964 92%
Blue Cross Blue Shield $224 - $553 92%
Kansas Superior Select $230 94%
Ambetter / Centene $257 - $852 105%
Uhccp $377 - $442 155%
Montgomery County $409 - $1,124 168%
Multiplan $1,651 - $2,896 677%
Choicecare (First Health Network) $1,748 - $3,066 717%
Health Partners Of Kansas, Inc $1,748 - $3,066 717%

Consumer Guidance & Cost Commentary

For the MRI of a knee or other leg joint at Labette Health in Parsons, KS, the facility's cash price of $1,872 is significantly lower than the gross chargemaster rate of $2,675. While the facility is government-owned and lists a facility rating of 3, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, UnitedHealthcare's high-end negotiated rate reaches $2,964, and Multiplan's rate is $2,896, both surpassing the cash price. This dynamic suggests that for patients with high-deductible plans or those without insurance, paying the cash price directly may result in lower out-of-pocket costs compared to having insurance process the claim, provided the patient understands their specific plan's allowed amount.

To ensure you are receiving the best possible rate, it is crucial to request a prompt-pay discount before scheduling your visit, as hospitals often offer 20% to 50% reductions for upfront payment. Additionally, if you are using insurance, be vigilant about balance billing, which occurs when a provider bills you for the difference between their full rate and what your insurer pays, particularly for out-of-network ancillary services like lab work. Since over 80% of hospital bills contain errors, always demand a full itemized CPT-coded statement rather than accepting a summary bill, and dispute any unexpected charges in writing to protect your rights under the No Surprises Act.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1902 South Us Hwy 59, Parsons, KS 67357
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals