CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Lee's Summit Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $4,727
Cash Discount Price: $19,219
vs. Medicare Baseline: 19.39x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Lee's Summit Medical Center is $4,727. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,219. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 19.39x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.

Cash / Self-Pay

$19,219

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,727

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: $19,219 (7884%)

Insurance Median: $4,727 (1939%)

Cash: $19,219 (7884% of Medicare)

Ins. Median: $4,727 (1939% 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 1939% of the Medicare baseline (a markup of 1839%). 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
United	$131 - $11,195	54%
Healthyblue	$134	55%
Medicaid / KanCare	$135	55%
Aetna	$136 - $12,688	56%
Amerigroup	$136	56%
Unicare	$136	56%
Home State Health Plan	$138	57%
Multiplan	$222 - $18,410	91%
Corvel Corporation	$263 - $16,171	108%
Cigna	$272 - $19,903	112%
Oha Network	$274 - $12,439	112%
Blue Cross Blue Shield	$691 - $10,698	283%
Humana	$776 - $1,002	318%
Ambetter / Centene	$2,522 - $4,627	1035%
Nhc Advantage	$2,576 - $4,727	1057%
Wppa Providrs Care Network	$2,712 - $4,976	1113%
Universal Healthcare	$4,746 - $8,707	1947%
Coventry	$5,451 - $10,001	2236%
Coventry Kc Mo	$5,559 - $10,200	2280%
College Park Family Care Center	$5,830 - $10,698	2392%
Focus Healthcare Mgmt, Inc	$10,169 - $18,659	4172%
Cco, Inc.	$11,525 - $21,147	4728%

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 $19,219.
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 Lee's Summit 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.