CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mercy Rehabilitation Hospital Springfield

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $630
  • Cash Discount Price: $630
  • vs. Medicare Baseline: 2.58x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mercy Rehabilitation Hospital Springfield is $630. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $630. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.58x the Medicare baseline. Located in 5904 S Southwood Rd, Springfield, MO.
Cash / Self-Pay
$630

Average discount available for prompt cash payment at this facility.

Insurance Median
$630

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: $630 (258%)
Insurance Median: $630 (258%)
Cash: $630 (258% of Medicare)
Ins. Median: $630 (258% 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 258% of the Medicare baseline (a markup of 158%). 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 $378 - $630 155%
Blue Preferred $457 187%
Firsthealth Network $460 189%
Blue Cross Blue Shield $479 - $630 196%
Healthlink Workcomp $536 220%
Allwell From Home State Health $630 258%
Allyalign Health (Nhc Advantage) $630 258%
Ambetter / Centene $630 258%
Architectural Systems, Inc. (Asi) $630 258%
Ava R1 School District (Smbc) $630 258%
Bakersfield School District (Smbc) $630 258%
Blue Access $630 258%
Bolivar School (Smbc) $630 258%
Buchheit $630 258%
Cardinal Scale (Tri State Healthcare Coalition) $630 258%
Carthage R-9 School District (Tri-State Healthcare Coalition) $630 258%
Cigna $630 258%
City Of Springfield $630 258%
City Of Webb City (Tri State Healthcare Coalition) $630 258%
Devoted Healthcare $630 258%
Diversified Plastics $630 258%
Dora School District (Smbc) $630 258%
Easter Seals Midwest $630 258%
Employers Benefit Alliance $630 258%
Essence $630 258%
Evolutions $630 258%
Fabick Cat $630 258%
Fair Grove School District (Smbc) $630 258%
Health Net Federal Services $630 258%
Health Systems, Inc. $630 258%
Healthlink Hmo $630 258%
Healthlink Ppo $630 258%
Heart Of America (Tri State Healthcare Coalition &Amp;#8211; Med Pay) $630 258%
Hickory County Skyline School District (Smbc) $630 258%
Home State Health Plan, Inc. $630 258%
Humana $630 258%
J And M Farms, Inc. (Tri-State Healthcare Coalition) $630 258%
Jayhawk Fine Chemicals/Evonic(Tri State Healthcare Coalition) $630 258%
Laclede County School District Conway (Smbc) $630 258%
Lebanon School District (Smbc) $630 258%
Liberty Utilities (Empire District Electric) $630 258%
Marshfield School District (Smbc) $630 258%
Medica $630 258%
Medicaid / KanCare $630 258%
Mercy Charity Contract $630 258%
Mers Goodwill $630 258%
Missouri State University $630 258%
Mount Vernon School District (Smbc) $630 258%
Mountain Grove R-111 School District (Smbc) $630 258%
Mountain View School District (Smbc) $630 258%
Multiplan/Phcs/Beech Street $630 258%
Ozarks Community Hospital $630 258%
Pathway/Pathway X $630 258%
Phcs Savility $630 258%
Quality Collisson Group $630 258%
Quiktrip Corporation $630 258%
Richards R-V School District (Smbc) $630 258%
Roper Automotive Group (Tri State Healthcare Coalition) $630 258%
S And H Farm Supply $630 258%
Schreiber Foods $630 258%
Shinesolar $630 258%
Springfield Public Schools $630 258%
Springfield Remanufacturing $630 258%
Trailiner $630 258%
UnitedHealthcare $630 258%
Webb City R-Vii School District (Tri-State Healthcare Coalition) $630 258%
Wellcare Health Plans $630 258%
Woodard Cleaning &Amp;#038; Restoration, Inc. $630 258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5904 S Southwood Rd, Springfield, MO 65804
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL