MRI, knee or other leg joint
Facility: Wichita County Health Center
Billing Code: 73721 (CPT)
- CPT Billing Code: 73721
- Insurance Median: $1,048
- Cash Discount Price: $918
- vs. Medicare Baseline: 4.30x 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 430% of the Medicare baseline (a markup of 330%). 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 |
|---|---|---|
| Medicaid / KanCare | $947 | 388% |
| UnitedHealthcare | $1,148 | 471% |
Consumer Guidance & Cost Commentary
For the MRI procedure of the knee or other leg joint at Wichita County Health Center in Leoti, Kansas, the facility's cash median price is $918.00, which is lower than the state average of $947.00. While the facility's negotiated rate with UnitedHealthcare is $1,148.00, patients with high-deductible plans might find paying the cash price of $918.00 more beneficial if their insurance negotiated rate exceeds this amount. It is important to note that the facility's cash price is also significantly lower than the Medicare benchmark of $243.77 when adjusted for the local cost structure, highlighting the potential for substantial savings when paying directly rather than relying on insurance reimbursement.
The facility offers a median negotiated rate of $1,048.00 across payers, with Medicaid/KanCare and UnitedHealthcare both settling at $947.00 and $1,148.00 respectively. To minimize costs, patients should explicitly request a self-pay or prompt-pay discount before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. If you receive a summary bill, do not accept it as final; instead, demand a full itemized CPT-coded statement to identify any unbundled charges or services not rendered, ensuring you are only paying for the actual care provided.