CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Rock County Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,862
Cash Discount Price: $4,205
vs. Medicare Baseline: 11.74x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Rock County Hospital is $2,862. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,205. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.74x the Medicare baseline. Located in 102 East South Street, Bassett, NE.

Cash / Self-Pay

$4,205

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,862

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: $4,205 (1725%)

Insurance Median: $2,862 (1174%)

Cash: $4,205 (1725% of Medicare)

Ins. Median: $2,862 (1174% 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 1174% of the Medicare baseline (a markup of 1074%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$1,060 - $5,666	435%
Molina	$1,859 - $3,718	763%
UnitedHealthcare	$2,618 - $5,235	1074%
Nebraska Total Care	$2,656 - $5,312	1090%
Integrated Health Plan	$2,803 - $5,607	1150%
Interplan Health Group	$2,803 - $5,607	1150%
Coventry Health Care	$2,833 - $5,666	1162%
First Health	$2,833 - $5,666	1162%
Medica	$2,833 - $5,666	1162%
Mutually Preferred	$2,833 - $5,666	1162%
Multiplan	$2,862 - $5,725	1174%
Ppo Next	$2,862 - $5,725	1174%

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 $4,205.
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 Rock County Hospital 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.