CMS Price Transparency Data
MRI, knee or other leg joint
Facility: Mercy Hospital - Cassville
Billing Code: 73721 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73721
- Insurance Median: $2,763
- Cash Discount Price: $2,516
- vs. Medicare Baseline: 11.33x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mercy Hospital - Cassville is $2,763. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,516. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.33x the Medicare baseline. Located in 94 Main Street, Cassville, MO.
Cash / Self-Pay
$2,516
Average discount available for prompt cash payment at this facility.
Insurance Median
$2,763
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: $2,516 (1032%)
Insurance Median: $2,763 (1133%)
Cash: $2,516 (1032% of Medicare)
Ins. Median: $2,763 (1133% 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 1133% of the Medicare baseline (a markup of 1033%). 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 |
|---|---|---|
| Aetna | $120 - $4,146 | 49% |
| Humana | $120 - $3,959 | 49% |
| Medicaid / KanCare | $120 - $2,422 | 49% |
| Blue Cross Blue Shield | $224 - $4,518 | 92% |
| Medicare (plans) | $226 - $1,996 | 93% |
| UnitedHealthcare | $317 - $4,425 | 130% |
| Dept Of Veteran Affairs Contracted [320106] | $1,052 - $1,588 | 432% |
| Tricare | $1,250 - $1,887 | 513% |
| Cherokee Nation Health Serv Contracted [320066] | $1,271 - $1,919 | 521% |
| Cigna | $1,271 - $4,425 | 521% |
| Cross Timbers Hospice [20098] | $1,271 - $1,919 | 521% |
| Elara Caring Aspire Hospice [20433] | $1,271 - $1,919 | 521% |
| Globalhealth Contracted [320145] | $1,271 - $1,919 | 521% |
| Halo Hcr Inc Hospice Contracted [320432] | $1,271 - $1,919 | 521% |
| Halo Hcr Inc Hospice [20432] | $1,271 - $1,919 | 521% |
| Indian Health Service Contracted [320198] | $1,271 - $1,919 | 521% |
| Kindful Hospice Contracted [320434] | $1,271 - $1,919 | 521% |
| Kindful Hospice [20434] | $1,271 - $1,919 | 521% |
| Medical Associates Health Contracted [320444] | $1,271 - $1,919 | 521% |
| Mercy Hospice Okc [20252] | $1,271 - $1,919 | 521% |
| Mercy Mgd Behavioral Health Contracted [320259] | $1,271 - $1,919 | 521% |
| Pace Of The Ozarks Contracted [320518] | $1,271 - $1,919 | 521% |
| Provider Partners Health Plans Contracted [320450] | $1,271 - $1,919 | 521% |
| Qual Choice Contracted [320325] | $1,271 - $1,919 | 521% |
| Healthscope Contracted [320182] | $1,289 - $1,947 | 529% |
| Administrative Payor Contracted [320005] | $1,388 - $2,096 | 569% |
| Centivo Contracted [320505] | $1,573 - $2,376 | 645% |
| Ambetter / Centene | $1,604 - $2,422 | 658% |
| Home State Health Plan Contracted [320187] | $1,604 - $2,422 | 658% |
| Novasys Contracted [320285] | $1,604 - $2,422 | 658% |
| Healthlink Contracted [320179] | $2,005 - $4,192 | 822% |
| Preferred Health Plan Contracted [320522] | $2,005 - $3,028 | 822% |
| Health Systems Inc Contracted [320174] | $2,467 - $3,726 | 1012% |
| Insurance System Inc Contracted [320465] | $2,467 - $3,726 | 1012% |
| Point C Contracted [320238] | $2,467 - $4,192 | 1012% |
| Point C [20238] | $2,467 - $3,726 | 1012% |
| United Medical Resources Contracted [320454] | $2,467 - $3,959 | 1012% |
| Workers Comp [20426] | $2,467 - $4,192 | 1012% |
| Municipal Health Plan Contracted [320271] | $2,498 - $3,773 | 1025% |
| Medica Contracted [320239] | $2,763 - $4,174 | 1133% |
| 90 Degree Benefits Contracted [320436] | $2,776 - $4,192 | 1139% |
| Aither Health Contracted [320449] | $2,776 - $4,192 | 1139% |
| American Healthcare Alliance Contracted [320020] | $2,776 - $4,192 | 1139% |
| Auxiant Contracted [320462] | $2,776 - $4,192 | 1139% |
| Benefit Management Contracted [320052] | $2,776 - $4,192 | 1139% |
| Ebms Contracted [320493] | $2,776 - $4,192 | 1139% |
| Edison Health Solutions Contracted [320502] | $2,776 - $4,192 | 1139% |
| Evolutions Health Care Contracted [320124] | $2,776 - $4,192 | 1139% |
| Imagine 360 Contracted [320494] | $2,776 - $4,192 | 1139% |
| Mercy Benefit Admin Contracted [320251] | $2,776 - $4,192 | 1139% |
| Reflect Health Contracted [320492] | $2,776 - $4,192 | 1139% |
| Show-Me Health Administrators Contracted [320483] | $2,776 - $4,192 | 1139% |
| Usa Managed Care Org Contracted [320429] | $2,776 - $4,192 | 1139% |
| Yuzu Health Contracted [320521] | $2,776 - $4,192 | 1139% |
| First Health Contracted [320128] | $2,930 - $4,425 | 1202% |
| Multiplan Contracted [320270] | $2,930 - $4,425 | 1202% |
| Private Health Care Systems Contracted [320320] | $2,930 - $4,425 | 1202% |