CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Alta Vista Regional Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $3,925
Cash Discount Price: $3,140
vs. Medicare Baseline: 16.10x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Alta Vista Regional Hospital is $3,925. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,140. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 16.10x the Medicare baseline. Located in 104 Legion Drive, Las Vegas, NM.

Cash / Self-Pay

$3,140

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,925

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: $3,140 (1288%)

Insurance Median: $3,925 (1610%)

Cash: $3,140 (1288% of Medicare)

Ins. Median: $3,925 (1610% 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 1610% of the Medicare baseline (a markup of 1510%). 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
Commercial Hmo Ppo	$343 - $6,280	141%
Medicaid / KanCare	$367 - $6,280	151%
Php Centennial	$367	151%
Workers Comp	$417 - $6,280	171%
Medicare (plans)	$879 - $6,280	361%
UnitedHealthcare	$879 - $1,005	361%
Champus	$1,005 - $6,280	412%
Mcare Mcaid Hmo Dual	$1,005	412%
Self Pay	$3,140	1288%
Other Covernment	$3,925 - $6,280	1610%
Blue Cross Blue Shield	$4,710 - $6,280	1932%
Mva	$6,280	2576%
Other Government	$6,280	2576%

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 $3,140.
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 Alta Vista Regional 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.