CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Regional West Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $250
Cash Discount Price: $2,043
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Regional West Medical Center is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,043. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 4021 Ave B, Scottsbluff, NE.

Cash / Self-Pay

$2,043

Average discount available for prompt cash payment at this facility.

Insurance Median

$250

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: $2,043 (838%)

Insurance Median: $250 (103%)

Cash: $2,043 (838% of Medicare)

Ins. Median: $250 (103% 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.

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
Aetna	$60 - $3,167	25%
Humana	$60 - $248	25%
Medica	$60 - $2,894	25%
Medica Cost	$63 - $260	26%
Wellcare	$63 - $260	26%
UnitedHealthcare	$73 - $3,163	30%
Naphcare	$90 - $372	37%
Ambetter / Centene	$110 - $372	45%
Winhealth	$114 - $2,894	47%
Blue Cross Blue Shield	$115 - $2,724	47%
Cigna	$158 - $3,064	65%
Rci Insurance Group	$158 - $2,860	65%

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 $2,043.
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 Regional West Medical Center 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.