CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mary Lanning Healthcare

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $4,207
  • Cash Discount Price: $4,590
  • vs. Medicare Baseline: 17.26x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mary Lanning Healthcare is $4,207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,590. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 17.26x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.
Cash / Self-Pay
$4,590

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,207

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: $4,590 (1883%)
Insurance Median: $4,207 (1726%)
Cash: $4,590 (1883% of Medicare)
Ins. Median: $4,207 (1726% 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 1726% of the Medicare baseline (a markup of 1626%). 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
Tricare $233 96%
Aetna $248 - $4,488 102%
Blue Cross Blue Shield $248 - $5,100 102%
Medica Mcr Adv $248 102%
Ne Total Care Mcr Adv $248 102%
UnitedHealthcare $248 - $4,845 102%
Va Ccn - All Plans $248 102%
Ambetter / Centene $1,115 457%
Nhn/Mna-All Plans $4,131 1695%
Consociate Inc-All Plans $4,284 1757%
Medica-All Other Plans $4,437 1820%
Midlands Choice-All Plans $4,590 1883%
Provider Network Of America-All Plans $4,590 1883%
Multiplan-All Plans $4,845 1988%
Workers Compensation-All Plans $4,998 2050%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 715 N St Joseph Ave, Hastings, NE 68901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals