CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Memorial Health Care Systems

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,401
Cash Discount Price: $2,410
vs. Medicare Baseline: 5.75x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Memorial Health Care Systems is $1,401. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,410. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.75x the Medicare baseline. Located in 300 North Columbia Ave, Seward, NE.

Cash / Self-Pay

$2,410

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,401

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: $2,410 (989%)

Insurance Median: $1,401 (575%)

Cash: $2,410 (989% of Medicare)

Ins. Median: $1,401 (575% 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 575% of the Medicare baseline (a markup of 475%). 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
Molina Mcaid-All Plans	$1,301	534%
Ne Total Care Mcaid-All Plans	$1,301	534%
UnitedHealthcare	$1,301 - $2,265	534%
Beshp Mcr Adv - All Plans	$1,374	564%
Blue Cross Blue Shield	$1,374 - $1,484	564%
Medica Mcare Cost	$1,374	564%
Medica Mcr Adv	$1,374	564%
Tricare	$1,374	564%
Wellcare Mcr Adv - All Plans	$1,401	575%
Phcs Ppo-All Plans	$2,290	939%
Ambetter / Centene	$2,314	949%
Medica Comm-All Other Plans	$2,314	949%
Medica Elevate	$2,314	949%
Midlands Choice-All Plans	$2,338	959%
Aetna	$2,362	969%

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 $2,410.
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 Memorial Health Care Systems 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.