MRI, knee or other leg joint
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 73721 (CPT)
- CPT Billing Code: 73721
- Insurance Median: $228
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.94x 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 |
|---|---|---|
| Aetna | $200 - $1,371 | 82% |
| Humana | $224 | 92% |
| Medicare (plans) | $224 - $228 | 92% |
| Va | $224 | 92% |
| Vc Hope | $224 | 92% |
| UnitedHealthcare | $228 - $626 | 94% |
| Blue Cross Blue Shield | $228 | 94% |
| Smarthealth | $313 | 128% |
| Medicaid / KanCare | $380 | 156% |
| Cigna | $467 | 192% |
| Coventry City Of Wichita | $947 | 388% |
Consumer Guidance & Cost Commentary
For the MRI of a knee or other leg joint at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $200 to $947 across 11 different payers, with a median negotiated amount of $228. This figure is notably lower than the highest negotiated rates seen for this procedure in Kansas, where some commercial payers have agreed to rates exceeding $400. While Medicare sets a benchmark of $243.77 for this service, the facility's median negotiated rate of $228 is slightly below the Medicare amount, suggesting a competitive pricing structure for insured patients. However, because commercial contracts often include administrative overheads that can inflate prices by 20% to 40% above the true cost of care, it is important to verify that your specific plan is covered under the lowest available contract tier before scheduling.
Patients should be aware that while insurance typically caps costs at the negotiated rate, paying cash directly can sometimes result in a lower total if the facility offers a prompt-pay discount or if the patient's deductible has not yet been met. Since the cash median and specific cash rates are not listed in this dataset, we recommend contacting the hospital directly to inquire about self-pay pricing or prompt-pay incentives, which can bypass the administrative costs associated with insurance billing. Additionally, if you are an out-of-network patient or if any ancillary services were provided by out-of-network providers, you may be subject to balance billing for the difference between the allowed amount and the full chargemaster rate; under the No Surprises Act, however, you are protected from such surprise bills for emergency care and non-emergency services at in-network facilities. Always