CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Harlan County Health System

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,455
  • Cash Discount Price: $2,158
  • vs. Medicare Baseline: 10.07x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Harlan County Health System is $2,455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,158. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.07x the Medicare baseline. Located in 717 Brown St, Alma, NE.
Cash / Self-Pay
$2,158

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,455

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: $2,158 (885%)
Insurance Median: $2,455 (1007%)
Cash: $2,158 (885% of Medicare)
Ins. Median: $2,455 (1007% 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 1007% of the Medicare baseline (a markup of 907%). 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
Blue Cross Blue Shield $1,455 597%
Medica Mcr Adv $1,457 598%
Medica Prime Solution $1,457 598%
Humana $1,808 742%
Tricare $1,808 742%
Aetna $1,889 775%
Great Plains Mcr Adv-All Plans $1,898 779%
Medica Chi Aco - All Other Plans $2,455 1007%
Medica Chi Health $2,455 1007%
Medica Choice $2,455 1007%
Ohara Llc Wc- All Plans $2,563 1051%
Medica Ifb Aco $2,590 1062%
Medica Ifb Open Access $2,590 1062%
UnitedHealthcare $2,590 1062%
Phcs/Multiplan-All Plans $2,644 1085%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 717 Brown St, Alma, NE 68920
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals