MRI, knee or other leg joint
Facility: Menorah Medical Center
Billing Code: 73721 (CPT)
- CPT Billing Code: 73721
- Insurance Median: $3,710
- Cash Discount Price: $16,271
- vs. Medicare Baseline: 15.22x 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 1522% of the Medicare baseline (a markup of 1422%). 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 - $8,786 | 54% |
| Amerigroup | $131 | 54% |
| Healthyblue | $134 | 55% |
| Medicaid / KanCare | $135 | 55% |
| Aetna | $136 - $9,958 | 56% |
| Unicare | $136 | 56% |
| Home State Health Plan | $216 | 89% |
| Multiplan | $222 - $14,448 | 91% |
| Corvel Corporation | $263 - $12,691 | 108% |
| Cigna | $272 - $15,620 | 112% |
| Oha Network | $274 - $9,762 | 112% |
| Blue Cross Blue Shield | $691 - $8,786 | 283% |
| Humana | $776 - $1,002 | 318% |
| Ambetter / Centene | $2,421 - $3,632 | 993% |
| Nhc Advantage | $2,473 - $3,710 | 1014% |
| Wppa Providrs Care Network | $2,603 - $3,905 | 1068% |
| Universal Healthcare | $4,556 - $6,834 | 1869% |
| Coventry | $5,233 - $7,849 | 2147% |
| Coventry Kc Mo | $5,337 - $8,005 | 2189% |
| College Park Family Care Center | $5,597 - $8,396 | 2296% |
| Cco, Inc. | $9,763 - $14,644 | 4005% |
| Triwest Health Alliance | $9,763 - $14,644 | 4005% |
| Focus Healthcare Mgmt, Inc | $9,763 - $14,644 | 4005% |
Consumer Guidance & Cost Commentary
For the MRI of a knee or other leg joint at Menorah Medical Center in Overland Park, KS, the cash median price is $16,271, which matches the facility's gross charge. This rate is significantly higher than the state average, reflecting a 15.2% markup above the Medicare benchmark of $243.77. While many insurance payers have negotiated rates ranging from $131 to $15,620, these amounts often exceed the cash price due to administrative costs and contract structures. For patients with high-deductible plans, paying the cash median directly can sometimes be more cost-effective than relying on insurance, as the negotiated rates paid by carriers may not cover the patient's out-of-pocket expenses until their deductible is met.
To minimize costs, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the bill by 20% to 50% by bypassing insurance claims processing. It is crucial to avoid automatic claims submission, which can void cash agreements, and to always obtain a full itemized bill to identify any errors or unbundled charges before payment. Since balance billing is generally prohibited for emergency services at in-network facilities under the No Surprises Act, patients should verify their network status and ensure they are not signing away rights to dispute out-of-network ancillary services. Comparing the facility's pricing against the broader market reveals that while some payers like Amerigroup and Healthyblue have very low negotiated rates, others such as Multiplan and Cigna have significantly higher caps, highlighting the importance of checking individual plan details.