CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mosaic Life Care at St Joseph

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,462
Cash Discount Price: $1,828
vs. Medicare Baseline: 6.00x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mosaic Life Care at St Joseph is $1,462. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,828. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.00x the Medicare baseline. Located in 5325 Faraon Street, Saint Joseph, MO.

Cash / Self-Pay

$1,828

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,462

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: $1,828 (750%)

Insurance Median: $1,462 (600%)

Cash: $1,828 (750% of Medicare)

Ins. Median: $1,462 (600% 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 600% of the Medicare baseline (a markup of 500%). 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
Aetna	$53 - $2,068	22%
Medicaid / KanCare	$53 - $234	22%
UnitedHealthcare	$53 - $3,525	22%
Amerigroup Of Iowa	$67 - $447	27%
Iowa Total Care	$67 - $447	27%
Molina Of Iowa	$67 - $447	27%
Blue Cross Blue Shield	$69 - $2,170	28%
Multiplan	$228 - $2,250	94%
Ambetter / Centene	$339 - $463	139%
Centurion	$720 - $1,750	295%
Geha Shared Services	$1,462 - $2,030	600%
Freedom Select Healthlink	$1,545 - $2,146	634%
Healthlink Open Access	$1,545 - $2,146	634%
Preferred Health Professional	$1,545 - $2,146	634%
Sisco	$1,545 - $2,146	634%
Cigna	$1,584 - $2,200	650%
Home State Of Missouri	$2,610 - $3,625	1071%
Healthy Blue Of Missouri	$3,204 - $4,450	1314%

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 $1,828.
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 Mosaic Life Care at St Joseph 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.