MRI, knee or other leg joint
Facility: Overland Park Reg Med Ctr
Billing Code: 73721 (CPT)
- CPT Billing Code: 73721
- Insurance Median: $3,017
- Cash Discount Price: $13,309
- vs. Medicare Baseline: 12.38x 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 1238% of the Medicare baseline (a markup of 1138%). 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 |
|---|---|---|
| United | $131 - $7,985 | 54% |
| Amerigroup | $131 | 54% |
| Healthyblue | $134 | 55% |
| Medicaid / KanCare | $135 | 55% |
| Aetna | $136 - $9,049 | 56% |
| Unicare | $136 | 56% |
| Home State Health Plan | $216 | 89% |
| Multiplan | $222 - $13,130 | 91% |
| Corvel Corporation | $263 - $11,533 | 108% |
| Cigna | $272 - $404 | 112% |
| Oha Network | $274 - $8,872 | 112% |
| Blue Cross Blue Shield | $691 - $7,630 | 283% |
| Humana | $776 - $1,002 | 318% |
| Ambetter / Centene | $1,651 - $3,300 | 677% |
| Nhc Advantage | $1,686 - $3,371 | 692% |
| Wppa Providrs Care Network | $1,775 - $3,549 | 728% |
| Universal Healthcare | $3,106 - $6,210 | 1274% |
| Coventry | $3,568 - $7,133 | 1464% |
| Coventry Kc Mo | $3,639 - $7,275 | 1493% |
| College Park Family Care Center | $3,816 - $7,630 | 1565% |
| Cco, Inc. | $6,656 - $13,308 | 2730% |
| Triwest Health Alliance | $6,656 - $13,308 | 2730% |
| Focus Healthcare Mgmt, Inc | $6,656 - $13,308 | 2730% |
Consumer Guidance & Cost Commentary
For the MRI procedure of the knee or other leg joint at Overland Park Reg Med Ctr, the cash price is $13,309, which matches the facility's cash median. This rate is significantly higher than the state of Kansas average, as indicated by the 12.4% variance against Medicare benchmarks, suggesting the facility's pricing is well above the federal baseline. While commercial insurance plans like Multiplan and Corvel Corporation have negotiated rates reaching up to $13,130 and $11,533 respectively, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket if they can secure a self-pay or prompt-pay discount before scheduling.
It is important to note that while the facility is in-network for many payers, the presence of out-of-network services or ancillary providers could potentially trigger balance billing, where the patient is responsible for the difference between the provider's full charge and the insurance allowed amount. To avoid unexpected costs, patients should request an itemized billing audit to verify that no unbundled codes or services not rendered are included in the final invoice. Additionally, since prompt-pay discounts can reduce bills by 20% to 50%, it is advisable to ask the billing department about self-pay rates and potential discounts upfront rather than waiting until after the insurance claim is processed.