MRI, knee or other leg joint
Facility: Minneola District Hospital
Billing Code: 73721 (CPT)
- CPT Billing Code: 73721
- Insurance Median: $608
- Cash Discount Price: $336
- vs. Medicare Baseline: 2.49x 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 249% of the Medicare baseline (a markup of 149%). 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 |
|---|---|---|
| Humana | $60 - $536 | 25% |
| Va Community Care Program-All Plans | $60 - $536 | 25% |
| UnitedHealthcare | $60 - $800 | 25% |
| Providrs Care Network-All Plans | $197 - $680 | 81% |
| Medicaid / KanCare | $197 - $800 | 81% |
| Aetna | $197 - $800 | 81% |
| Blue Cross Blue Shield | $526 | 216% |
| Corporate Plan Management-All Plans | $680 | 279% |
| Preferred Health Care (Coventry)-All Other Plans | $720 | 295% |
| Triwest-All Plans | $720 | 295% |
| Health Partners Of Kansas-All Plans | $760 | 312% |
| Phc (Coventry) Leased Network | $760 | 312% |
Consumer Guidance & Cost Commentary
For the MRI of a knee or other leg joint at Minneola District Hospital, the cash median price is $336, which is significantly lower than the facility's negotiated rates and the state average. While the facility's negotiated rate of $608 sits below the gross charge, it remains higher than the cash price, illustrating that paying out-of-pocket can sometimes be the most cost-effective option for patients with high-deductible plans. The Medicare benchmark for this service is $243.77, serving as the objective baseline for fair pricing; commercial negotiated rates typically range from 200% to 300% of this amount, though this facility's negotiated rate of $608 represents a markup of 2.5 times the Medicare rate. Patients should verify their specific plan's allowed amount before scheduling, as in-network contracts vary widely, and should explicitly request self-pay or prompt-pay discounts prior to check-in to avoid being billed the full negotiated rate.
This facility, a Critical Access Hospital in Minneola, KS, operates under a government ownership model, and the data reflects pricing for the 2026-06 vintage. The lowest negotiated rate found across 12 payers is $60, while the highest is $760, highlighting the significant variation in commercial pricing depending on the insurance carrier. Because over 80% of hospital bills contain errors, patients should never accept a summary bill as their final invoice; instead, they must demand a detailed, itemized statement to identify any unbundled codes or services not rendered. If a balance bill arises from out-of-network ancillary services, the No Surprises Act may provide protection, but patients should