CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Artesia General Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,085
Cash Discount Price: $1,954
vs. Medicare Baseline: 8.55x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Artesia General Hospital is $2,085. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,954. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.55x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$1,954

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,085

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: $1,954 (802%)

Insurance Median: $2,085 (855%)

Cash: $1,954 (802% of Medicare)

Ins. Median: $2,085 (855% 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 855% of the Medicare baseline (a markup of 755%). 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
Zelis	$199 - $1,624	82%
Triwest	$230	94%
Blue Cross Blue Shield	$234 - $2,436	96%
Geha	$234 - $3,248	96%
Humana	$234 - $258	96%
Molina Healthcare Of New Mexico	$234 - $424	96%
Presbyterian Health Plan	$234 - $489	96%
UnitedHealthcare	$234 - $3,451	96%
Vistacare Hospice	$234	96%
New Mexico Health Connections	$398	163%
Providence Risk & Insurance Services	$468 - $3,857	192%
First Health	$565 - $3,654	232%
Omni Networks	$1,717 - $2,842	704%
Three Rivers Provider Network	$1,840 - $3,045	755%
Cigna	$2,085 - $3,654	855%
Galaxy Health	$2,208 - $3,654	906%
One Health Plan	$2,208 - $3,654	906%
Multiplan	$2,232 - $3,695	916%
United Payors & United Providers	$2,281 - $3,776	936%

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 $1,954.
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 Artesia General 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.