CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mercy Hospital Washington

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$349

about 1.4× the $244 Medicare rate · typically $239–$580

modeled estimate · not a bill or quote

What this hospital charges insurers

$369

About the fair price

about $20 over the fair price · 1.5× Medicare

Medicare pays $244 Fair price $349 This hospital $369 Cash price $1,962 Hospital's list price $3,018

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $118 Priciest $369

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $349 (about 1.4× the $244 Medicare rate). Mercy Hospital Washington charges insurers about $369, or about $1,962 in cash — about the fair price. Located in Washington, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$225 - $304	92%
Blue Cross Blue Shieldmajor	$225 - $3,260	92%
Aetnamajor	$225 - $543	92%
Cignamajor	$229 - $1,630	94%
Humanamajor	$225	92%
Ambetter (Centene)	$370	152%
HealthLink	$369 - $2,463	151%
Medica	$351	144%
+ 36 smaller / regional plans	$225 - $2,354

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,962), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital Washington is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital Washington

Compare: MRI, knee or other leg joint at other MO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.