MRI, knee or other leg joint
Facility: Rooks County Health Center
Billing Code: 73721 (CPT)
- CPT Billing Code: 73721
- Insurance Median: $1,812
- Cash Discount Price: $1,510
- vs. Medicare Baseline: 7.43x 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 743% of the Medicare baseline (a markup of 643%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $553 | 227% |
| Veterans Admin - All Plans | $946 | 388% |
| Celtic Mcr Adv | $946 | 388% |
| Tricare | $946 | 388% |
| Celtic Comm - All Other Plans | $1,041 | 427% |
| UnitedHealthcare | $1,812 | 743% |
| Aetna | $1,812 | 743% |
| Preferred Benefits Admin | $1,812 | 743% |
| Preferred Hlthcare - All Other Plans | $1,913 | 785% |
| Health Partners - All Plans | $1,913 | 785% |
| Healthy Blue Mcaid - All Plans | $2,014 | 826% |
Consumer Guidance & Cost Commentary
For the MRI of a knee or other leg joint at Rooks County Health Center in Plainville, Kansas, the facility's cash price is $1,510, which is lower than the negotiated rates charged to most insurance plans. While the facility's cash rate is higher than the state average for this procedure, it remains significantly lower than the typical negotiated amounts seen with major payers like UnitedHealthcare, Aetna, and Preferred Benefits Admin, which all list rates of $1,812 or higher. Because commercial insurance contracts often include administrative overhead and multi-layered pricing structures, patients with high-deductible plans may find paying the cash price directly more affordable than having insurance cover the service, especially if their deductible has not yet been met.
To ensure you receive the most accurate pricing, it is important to request an itemized billing audit before finalizing payment, as summary bills can obscure individual charges or unbundled codes that should be consolidated. Additionally, since this facility is a Critical Access Hospital owned by a Government Hospital District, you should explicitly ask about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. While the Medicare benchmark for this service is $243.77, commercial rates are naturally higher due to provider costs and risk adjustments; however, comparing your specific plan's allowed amount to the cash price can reveal significant savings if you choose to pay out-of-pocket.