MRI, knee or other leg joint
Facility: Kansas Medical Center Llc
Billing Code: 73721 (CPT)
- CPT Billing Code: 73721
- Insurance Median: $220
- Cash Discount Price: $1,033
- vs. Medicare Baseline: 0.90x 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.
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 |
|---|---|---|
| Medicaid / KanCare | $131 | 54% |
| Tricare | $198 | 81% |
| Indian Health | $198 | 81% |
| Blue Cross Blue Shield | $220 - $503 | 90% |
| Medadv_Wellcare | $220 | 90% |
| Humana | $220 | 90% |
| Ambetter / Centene | $220 | 90% |
| Three_Rivers | $440 | 180% |
| Wppa | $473 - $904 | 194% |
| United | $850 | 349% |
| Aetna | $900 | 369% |
Consumer Guidance & Cost Commentary
For the MRI of a knee or other leg joint at Kansas Medical Center Llc in Andover, KS, the cash median price is $1,033.00, which is notably higher than the state average of $1,033.00. While the facility offers a negotiated rate of $220.00, this amount is significantly lower than the cash price, suggesting that for patients with high-deductible plans or those without insurance, paying the cash median may result in a higher out-of-pocket cost than utilizing an in-network plan. It is important to note that commercial payers like Blue Cross Blue Shield and Wppa have negotiated rates ranging from $220 to $904, meaning the actual cost depends entirely on your specific insurance contract.
To ensure you are receiving the most accurate pricing, always request an itemized billing audit before finalizing payment, as summary bills often obscure individual code costs and potential errors. Additionally, ask the billing department about prompt-pay discounts, which can reduce the total amount due by 20% to 50% if paid upfront, effectively bypassing the administrative overhead associated with insurance claims. While the facility's facility rating is 2, the key to managing costs lies in verifying your deductible status and confirming whether your specific plan allows for the negotiated rates listed, rather than assuming the cash price is the only option.