CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Neosho Memorial Regional Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $1,135
  • Cash Discount Price: $2,660
  • vs. Medicare Baseline: 4.66x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Neosho Memorial Regional Medical Center is $1,135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,660. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.66x the Medicare baseline. Located in 629 South Plummer Ave, Chanute, KS.
Cash / Self-Pay
$2,660

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,135

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $2,660 (1091%)
Insurance Median: $1,135 (466%)
Cash: $2,660 (1091% of Medicare)
Ins. Median: $1,135 (466% of 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 466% of the Medicare baseline (a markup of 366%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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%
Blue Cross Blue Shield $610 - $1,135 250%
Tricare $1,093 448%
Medadv_Allwell $1,135 466%
Medicare (plans) $1,135 466%
Va_Ccn $1,135 466%
Aetna $1,135 466%
Medadv_Uhc $1,135 466%
Humana $1,135 466%
Ambetter / Centene $1,787 733%
Wppa_Providrscare $2,944 1208%
United $2,951 1211%
Coventry $3,369 1382%
Cigna $3,369 1382%
Hpk $3,369 1382%

Consumer Guidance & Cost Commentary

For an MRI of the knee or other leg joint at Neosho Memorial Regional Medical Center in Chanute, KS, the cash price is $2,660, which is lower than the facility's negotiated rates with most major insurers. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find paying cash directly more cost-effective than relying on insurance, as many commercial payers have negotiated rates exceeding the cash price. It is important to note that while the facility offers a cash rate, patients should always ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce the final amount owed.

The data indicates that this facility's pricing structure differs significantly from the state average, with a Medicare benchmark of $243.77 serving as the baseline for fair pricing. Although the facility's negotiated rates range from $131 for Medicaid/KanCare up to $3,369 for certain plans, the cash price remains a competitive option compared to the higher commercial charges. To avoid unexpected costs, consumers should request an itemized bill to verify that no services were unbundled or double-charged, and they should be aware that balance billing is generally prohibited for emergency care at in-network facilities under federal law.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 629 South Plummer Ave, Chanute, KS 66720
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals