CMS Price Transparency Data

MRI, knee or other leg joint

Facility: The Children's Mercy Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,720
Cash Discount Price: $704
vs. Medicare Baseline: 7.06x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at The Children's Mercy Hospital is $1,720. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $704. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.06x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$704

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,720

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: $704 (289%)

Insurance Median: $1,720 (706%)

Cash: $704 (289% of Medicare)

Ins. Median: $1,720 (706% 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 706% of the Medicare baseline (a markup of 606%). 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
UnitedHealthcare	$56 - $2,666	23%
Healthy Blue	$59 - $608	24%
Medicaid / KanCare	$60 - $153	25%
Cigna	$61 - $2,758	25%
Home State Health	$76 - $535	31%
Healthlink	$82 - $3,492	34%
Wppa Providrs Care	$83 - $2,579	34%
Health Midwest Comprehensive Care	$88 - $2,583	36%
American Healthcare Alliance	$91 - $3,373	37%
Quiktrip	$95 - $2,583	39%
Medica	$112 - $2,313	46%
Blue Cross Blue Shield	$118 - $2,936	48%
Multiplan	$118 - $3,016	48%
Aetna	$121 - $2,698	50%
Wellfit/Centrus	$122 - $2,579	50%
Centivo	$125 - $2,579	51%
Humana	$125 - $2,639	51%
Orscheln	$126 - $2,579	52%
Nebraska Furniture Mart	$127 - $2,579	52%
Mercy Health	$140 - $2,976	57%
Coxhealth Network	$142 - $2,936	58%
Coventry Health Care Of Kansas	$153 - $2,936	63%
National Preferred Provider Network	$169 - $3,571	69%

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 $704.
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 The Children's Mercy Hospital 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.