CMS Price Transparency Data
MRI, knee or other leg joint
Facility: Mercy Hospital Lincoln
Billing Code: 73721 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73721
- Insurance Median: $2,474
- Cash Discount Price: $2,798
- vs. Medicare Baseline: 10.15x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mercy Hospital Lincoln is $2,474. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,798. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.15x the Medicare baseline. Located in 1000 East Cherry Street, Troy, MO.
Cash / Self-Pay
$2,798
Average discount available for prompt cash payment at this facility.
Insurance Median
$2,474
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: $2,798 (1148%)
Insurance Median: $2,474 (1015%)
Cash: $2,798 (1148% of Medicare)
Ins. Median: $2,474 (1015% 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 1015% of the Medicare baseline (a markup of 915%). 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 |
|---|---|---|
| Medicaid / KanCare | $189 - $2,615 | 78% |
| UnitedHealthcare | $304 - $3,760 | 125% |
| Blue Cross Blue Shield | $317 - $4,387 | 130% |
| Aetna | $437 - $3,732 | 179% |
| Workers Comp [20426] | $560 - $4,558 | 230% |
| Tricare | $623 - $1,219 | 256% |
| Medicare (plans) | $628 - $5,697 | 258% |
| Provider Partners Health Plans Contracted [320450] | $681 - $1,333 | 279% |
| American Health Advantage Of Mo Mcr [10473] | $685 - $1,341 | 281% |
| Cherokee Nation Health Serv Contracted [320066] | $685 - $1,341 | 281% |
| Cross Timbers Hospice [20098] | $685 - $1,341 | 281% |
| Dept Of Veteran Affairs Contracted [320106] | $685 - $1,341 | 281% |
| Elara Caring Aspire Hospice Contracted [320433] | $685 - $1,341 | 281% |
| Elara Caring Aspire Hospice [20433] | $685 - $1,341 | 281% |
| Globalhealth Contracted [320145] | $685 - $1,341 | 281% |
| Halo Hcr Inc Hospice Contracted [320432] | $685 - $1,341 | 281% |
| Halo Hcr Inc Hospice [20432] | $685 - $1,341 | 281% |
| Humana | $685 - $5,127 | 281% |
| Indian Health Service Contracted [320198] | $685 - $1,341 | 281% |
| Kindful Hospice Contracted [320434] | $685 - $1,341 | 281% |
| Kindful Hospice [20434] | $685 - $1,341 | 281% |
| Mercy Hospice Okc [20252] | $685 - $1,341 | 281% |
| Pace Of The Ozarks Contracted [320518] | $685 - $1,341 | 281% |
| Qual Choice Contracted [320325] | $685 - $1,341 | 281% |
| Cigna | $731 - $4,729 | 300% |
| Centivo Contracted [320505] | $1,057 - $2,068 | 434% |
| Medica Contracted [320239] | $1,223 - $2,393 | 502% |
| Ambetter / Centene | $1,336 - $2,615 | 548% |
| Home State Health Plan Contracted [320187] | $1,336 - $2,615 | 548% |
| Novasys Contracted [320285] | $1,336 - $2,615 | 548% |
| Hope Trust Contracted [320488] | $1,441 - $2,820 | 591% |
| Health Choices Contracted [320448] | $1,747 - $3,418 | 717% |
| Health Choices [20448] | $1,747 - $3,418 | 717% |
| Medical Associates Health Contracted [320444] | $1,747 - $3,418 | 717% |
| First Health Contracted [320128] | $1,907 - $3,732 | 782% |
| United Medical Resources Contracted [320454] | $1,921 - $3,760 | 788% |
| Multiplan Contracted [320270] | $2,183 - $4,273 | 896% |
| Healthlink Contracted [320179] | $2,358 - $5,070 | 967% |
| Aither Health Contracted [320449] | $2,474 - $4,842 | 1015% |
| Aither Health [20449] | $2,474 - $4,842 | 1015% |
| Auxiant Contracted [320462] | $2,474 - $4,842 | 1015% |
| Ebms Contracted [320493] | $2,474 - $4,842 | 1015% |
| Edison Health Solutions Contracted [320502] | $2,474 - $4,842 | 1015% |
| Federal Medical Center Contracted [320127] | $2,474 - $4,842 | 1015% |
| Imagine 360 Contracted [320494] | $2,474 - $4,842 | 1015% |
| Insurance System Inc Contracted [320465] | $2,474 - $4,842 | 1015% |
| Mercy Benefit Admin Contracted [320251] | $2,474 - $4,842 | 1015% |
| Mercy Benefit Admin [20251] | $2,474 - $4,842 | 1015% |
| Point C Contracted [320238] | $2,474 - $4,842 | 1015% |
| Preferred Health Plan Contracted [320522] | $2,474 - $4,842 | 1015% |
| Reflect Health Contracted [320492] | $2,474 - $4,842 | 1015% |
| Show-Me Health Administrators Contracted [320483] | $2,474 - $4,842 | 1015% |
| Tri State Healthcare Coalition Contracted [320379] | $2,474 - $4,842 | 1015% |
| Yuzu Health Contracted [320521] | $2,474 - $4,842 | 1015% |