CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Frankfort Regional Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,462
Cash Discount Price: $10,734
vs. Medicare Baseline: 10.10x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Frankfort Regional Medical Center is $2,462. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,734. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.10x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.

Cash / Self-Pay

$10,734

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,462

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: $10,734 (4403%)

Insurance Median: $2,462 (1010%)

Cash: $10,734 (4403% of Medicare)

Ins. Median: $2,462 (1010% 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 1010% of the Medicare baseline (a markup of 910%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$490 - $1,227	201%
Molina	$490 - $1,227	201%
United	$490 - $6,903	201%
Humana	$495 - $1,240	203%
Corvel	$983 - $2,462	403%
Prime Health	$983 - $2,462	403%
Coventry Cares	$1,103 - $2,761	452%
Signature Advantage	$1,164 - $2,915	477%
Cigna	$1,801 - $4,510	739%
Essence Healthcare	$2,757 - $6,903	1131%
Baptist Health Network	$3,308 - $8,284	1357%
Hospice Of Central Kentucky	$3,860 - $9,665	1583%
Occupational Mc Alliance	$4,901 - $12,273	2011%
Multiplan	$5,820 - $14,574	2387%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $10,734.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Frankfort Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73721.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.