CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Garden County Health Services

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,881
  • Cash Discount Price: $2,332
  • vs. Medicare Baseline: 11.82x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Garden County Health Services is $2,881. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,332. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.82x the Medicare baseline. Located in 1100 West 2Nd St, Oshkosh, NE.
Cash / Self-Pay
$2,332

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,881

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: $2,332 (957%)
Insurance Median: $2,881 (1182%)
Cash: $2,332 (957% of Medicare)
Ins. Median: $2,881 (1182% 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 1182% of the Medicare baseline (a markup of 1082%). 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
Nebraska Total Care $2,037 836%
UnitedHealthcare $2,537 1041%
Medica $2,846 1167%
Blue Cross Blue Shield $2,915 1196%
Midlands Choice $3,258 1337%
Aetna $3,292 1350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 West 2Nd St, Oshkosh, NE 69154
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals