MRI, knee or other leg joint
Facility: Kingman Healthcare Center
Billing Code: 73721 (CPT)
- CPT Billing Code: 73721
- Insurance Median: $197
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.81x 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 | $197 | 81% |
| Healthy Blue | $197 | 81% |
| Aetna | $872 | 358% |
Consumer Guidance & Cost Commentary
For the MRI of a knee or other leg joint at Kingman Healthcare Center in Kingman, KS, the facility's negotiated rate is $197, which is significantly lower than the state average of $601. This negotiated amount represents the maximum cost for in-network members with Medicaid/KanCare, Healthy Blue, or Aetna. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that cash-pay options are not listed for this specific service. However, if you have a high-deductible plan where your out-of-pocket costs exceed the $197 negotiated rate, paying cash directly might result in a lower total cost, provided you secure a "self-pay" or "prompt-pay" discount before scheduling. Always verify these discounts with the hospital directly, as they can vary by payer and plan type.
It is important to understand that the $197 negotiated rate is a contractually agreed-upon ceiling that protects you from balance billing, even if the facility's internal chargemaster is higher. Unlike out-of-network scenarios where the No Surprises Act may apply to emergency care, this rate is fixed for your specific insurance plans, meaning you will not be billed the difference between the facility's full list price and the allowed amount. Furthermore, since Medicare allows $243.77 for this procedure, the negotiated rate of $197 aligns closely with fair pricing benchmarks, avoiding the common pitfall of comparing discounts against inflated list prices. If you receive an itemized bill later, ensure it breaks down the exact CPT code to confirm no unbundled charges or services not rendered have been added, as over 80% of hospital