CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Shriners Hospitals for Children

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$293

about 1.2× the $244 Medicare rate · typically $205–$776

modeled estimate · not a bill or quote

What this hospital charges insurers

$297

About the fair price

about $4 over the fair price · 1.2× Medicare

Medicare pays $244 Fair price $293 This hospital $297 Cash price $1,936 Hospital's list price $1,936

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $118 Priciest $297

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $293 (about 1.2× the $244 Medicare rate). Shriners Hospitals for Children charges insurers about $297, or about $1,936 in cash — about the fair price. Located in Saint Louis, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$215 - $233	88%
Blue Cross Blue Shieldmajor	$325	133%
Aetnamajor	$234 - $274	96%
Cignamajor	$282	116%
Ambetter (Centene)	$206	85%
HealthLink	$311	128%
Providence Health Plan	$333	137%
+ 2 smaller / regional plans	$206 - $483

Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,936), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Shriners Hospitals for Children is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Shriners Hospitals for Children

Compare: MRI, knee or other leg joint at other MO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.