CMS Price Transparency Data
MRI, knee or other leg joint
Facility: Mercy Hospital Joplin
Billing Code: 73721 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73721
- Insurance Median: $1,444
- Cash Discount Price: $2,059
- vs. Medicare Baseline: 5.92x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mercy Hospital Joplin is $1,444. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,059. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.92x the Medicare baseline. Located in 100 Mercy Way, Joplin, MO.
Cash / Self-Pay
$2,059
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,444
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: $2,059 (845%)
Insurance Median: $1,444 (592%)
Cash: $2,059 (845% of Medicare)
Ins. Median: $1,444 (592% 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 592% of the Medicare baseline (a markup of 492%). 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.
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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 | $117 - $2,772 | 48% |
| Indian Health Service Contracted [320198] | $117 - $2,471 | 48% |
| Aetna | $120 - $234 | 49% |
| Humana | $120 - $1,141 | 49% |
| Medicaid / KanCare | $120 - $380 | 49% |
| Champva [20065] | $215 | 88% |
| Cherokee Nation Health Serv Contracted [320066] | $215 | 88% |
| Cigna | $215 - $935 | 88% |
| Cross Timbers Hospice [20098] | $215 | 88% |
| Dept Of Veteran Affairs Contracted [320106] | $215 | 88% |
| Elara Caring Aspire Hospice [20433] | $215 | 88% |
| Globalhealth Contracted [320145] | $215 | 88% |
| Halo Hcr Inc Hospice Contracted [320432] | $215 | 88% |
| Halo Hcr Inc Hospice [20432] | $215 | 88% |
| Kindful Hospice Contracted [320434] | $215 | 88% |
| Kindful Hospice [20434] | $215 | 88% |
| Medicare (plans) | $215 - $226 | 88% |
| Mercy Hospice Okc [20252] | $215 | 88% |
| Mercy Mgd Behavioral Health Contracted [320259] | $215 | 88% |
| Pace Of The Ozarks Contracted [320518] | $215 | 88% |
| Provider Partners Health Plans Contracted [320450] | $215 | 88% |
| Qual Choice Contracted [320325] | $215 | 88% |
| Tricare | $215 | 88% |
| UnitedHealthcare | $215 - $518 | 88% |
| Centivo Contracted [320505] | $219 | 90% |
| Healthscope Contracted [320182] | $274 | 112% |
| Ambetter / Centene | $317 | 130% |
| Home State Health Plan Contracted [320187] | $317 | 130% |
| Novasys Contracted [320285] | $317 | 130% |
| Providrs Care Network Contracted [320484] | $447 | 183% |
| Health Choice Contracted [320166] | $483 | 198% |
| United Medical Resources Contracted [320454] | $518 - $846 | 212% |
| Point C Contracted [320238] | $887 - $3,042 | 364% |
| Healthlink Contracted [320179] | $979 - $2,471 | 402% |
| Benefit Management Contracted [320052] | $1,090 - $1,635 | 447% |
| Health Systems Inc Contracted [320174] | $1,090 - $1,635 | 447% |
| Insurance System Inc Contracted [320465] | $1,090 - $1,635 | 447% |
| Medica Contracted [320239] | $1,101 | 452% |
| Administrative Payor Contracted [320005] | $1,140 - $1,711 | 468% |
| 90 Degree Benefits Contracted [320436] | $1,249 | 512% |
| Mercy Benefit Admin Contracted [320251] | $1,249 - $2,167 | 512% |
| Show-Me Health Administrators Contracted [320483] | $1,249 - $1,313 | 512% |
| Aither Health Contracted [320449] | $1,444 - $2,167 | 592% |
| Auxiant Contracted [320462] | $1,444 - $2,471 | 592% |
| Ebms Contracted [320493] | $1,444 - $2,167 | 592% |
| Edison Health Solutions Contracted [320502] | $1,444 - $2,167 | 592% |
| Imagine 360 Contracted [320494] | $1,444 - $2,167 | 592% |
| Reflect Health Contracted [320492] | $1,444 - $2,167 | 592% |
| Yuzu Health Contracted [320521] | $1,444 - $2,167 | 592% |
| Preferred Health Plan Contracted [320522] | $1,647 - $2,471 | 676% |
| First Health Contracted [320128] | $1,726 - $2,589 | 708% |
| American Healthcare Alliance Contracted [320020] | $1,774 - $2,661 | 728% |
| Multiplan Contracted [320270] | $1,951 - $2,928 | 800% |
| Private Health Care Systems Contracted [320320] | $1,951 - $2,928 | 800% |
| Usable Contracted [320409] | $1,951 - $2,928 | 800% |
| Point C [20238] | $2,027 - $3,042 | 832% |
| Workers Comp [20426] | $2,027 - $3,802 | 832% |
| Usa Managed Care Org Contracted [320429] | $2,230 - $3,346 | 915% |
| Ppo Plus Contracted [320310] | $2,281 - $3,422 | 936% |