CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Deaconess Henderson Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $248
  • Cash Discount Price: $612
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Deaconess Henderson Hospital is $248. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $612. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.02x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$612

Average discount available for prompt cash payment at this facility.

Insurance Median
$248

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: $612 (251%)
Insurance Median: $248 (102%)
Cash: $612 (251% of Medicare)
Ins. Median: $248 (102% 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.

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
Caresource In Marketplace $96 - $431 39%
Ky Racing Health & Welfare Fund $96 - $592 39%
Self-Pay $96 - $612 39%
Aetna $121 - $1,980 50%
Blue Cross Blue Shield $121 - $231 50%
Humana $121 - $1,633 50%
Medicare (plans) $121 - $215 50%
Mhs Mco $121 - $215 50%
Molina Healthcare Of Ky $121 - $215 50%
Molina Healthcare Of Ky - Exchange $121 - $215 50%
Mytru Advantage $121 - $215 50%
Umwa $121 - $215 50%
UnitedHealthcare $121 - $616 50%
Wellcare Il $121 - $215 50%
Wellcare Ky $121 - $292 50%
Center Care Narrow $128 - $870 53%
Center Care Open Access $128 - $1,075 53%
Caresource In $131 54%
Medicaid / KanCare $131 - $408 54%
Wellcare Ky Commercial Exchange $158 - $441 65%
Alliance Coal $165 - $739 68%
Cigna $165 - $1,306 68%
Claimdoc $165 - $1,225 68%
Hopetrust $165 - $739 68%
Hstechnology $165 - $739 68%
Amish And Mennonite Of Western Ky $179 - $801 73%
First Health Network (Coventry) $192 - $1,735 79%
Healthlink $192 - $1,531 79%
Iu Health Plans $192 - $1,128 79%
Phcs/Multiplan $192 - $1,837 79%
Noncontracted $194 - $344 80%
Encircle/Encore Combined $206 - $1,181 85%
Encircle/Encore Prime $206 - $1,101 85%
Coventry National Network $220 - $1,633 90%
Webster County Detention Center $220 - $1,633 90%
Henderson County Detention Center $248 - $1,837 102%
Sagamore $458 - $1,796 188%
One Care $473 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals