CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Centerpoint Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $4,109
Cash Discount Price: $21,084
vs. Medicare Baseline: 16.86x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Centerpoint Medical Center is $4,109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21,084. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 16.86x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$21,084

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,109

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: $21,084 (8649%)

Insurance Median: $4,109 (1686%)

Cash: $21,084 (8649% of Medicare)

Ins. Median: $4,109 (1686% 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 1686% of the Medicare baseline (a markup of 1586%). 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
Global Sports Services	$25	10%
United	$131 - $12,600	54%
Healthyblue	$134	55%
Medicaid / KanCare	$135	55%
Amerigroup	$136	56%
Unicare	$136	56%
Home State Health Plan	$138	57%
Aetna	$204 - $14,280	84%
Multiplan	$222 - $20,720	91%
Corvel Corporation	$263 - $18,200	108%
Cigna	$272 - $22,400	112%
Oha Network	$274 - $14,000	112%
Blue Cross Blue Shield	$691 - $12,880	283%
Humana	$776 - $1,002	318%
Ambetter / Centene	$2,635 - $5,208	1081%
Nhc Advantage	$2,692 - $5,320	1104%
Wppa Providrs Care Network	$2,834 - $5,600	1163%
Universal Healthcare	$4,959 - $9,800	2034%
Coventry	$5,695 - $11,256	2336%
Coventry Kc Mo	$5,809 - $11,480	2383%
College Park Family Care Center	$6,092 - $12,040	2499%
Cco, Inc.	$12,042 - $23,800	4940%
Focus Healthcare Mgmt, Inc	$12,751 - $25,200	5231%

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 $21,084.
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 Centerpoint 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.