CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $854
  • Cash Discount Price: $891
  • vs. Medicare Baseline: 3.50x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Ste Genevieve County Memorial Hospital is $854. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $891. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.50x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.
Cash / Self-Pay
$891

Average discount available for prompt cash payment at this facility.

Insurance Median
$854

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: $891 (366%)
Insurance Median: $854 (350%)
Cash: $891 (366% of Medicare)
Ins. Median: $854 (350% 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 350% of the Medicare baseline (a markup of 250%). 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.

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
Aetna $37 - $2,631 15%
Allwell $37 - $871 15%
Blue Cross Blue Shield $37 - $3,385 15%
Medicare (plans) $37 - $854 15%
Va $37 - $854 15%
Pphp $42 - $982 17%
Ambetter / Centene $46 - $1,068 19%
Meritain $113 - $2,631 46%
Multiplan/Phcs $125 - $2,904 51%
Medicaid / KanCare $239 98%
Homestate $249 102%
Healthy_Blue $287 118%
Uhc_Community $287 118%
UnitedHealthcare $452 - $1,708 185%
Healthlink_Hmo $551 - $1,763 226%
Healthlink_Compmanagement $588 - $1,881 241%
Healthlink_Ppo $588 - $1,881 241%
Cigna $2,802 1149%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Hwys 61 & 32, Sainte Genevieve, MO 63670
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals