CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Rehoboth McKinley Christian Health Care Services

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,469
Cash Discount Price: $973
vs. Medicare Baseline: 10.13x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Rehoboth McKinley Christian Health Care Services is $2,469. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $973. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.13x the Medicare baseline. Located in 1901 Red Rock Drive, Gallup, NM.

Cash / Self-Pay

$973

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,469

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: $973 (399%)

Insurance Median: $2,469 (1013%)

Cash: $973 (399% of Medicare)

Ins. Median: $2,469 (1013% 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 1013% of the Medicare baseline (a markup of 913%). 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
Medicare (plans)	$658 - $898	270%
Triwest	$658 - $898	270%
Usa	$724 - $988	297%
Coventry	$1,783 - $2,432	731%
UnitedHealthcare	$2,057 - $2,806	844%
Health West	$2,194 - $2,993	900%
Three Rivers	$2,194 - $2,993	900%
Blue Cross Blue Shield	$2,332 - $3,180	957%
Integrated Health	$2,332 - $3,180	957%
Humana	$2,469 - $3,367	1013%
Multiplan	$2,469 - $3,367	1013%
Cigna	$2,551 - $3,479	1046%
Presbyterian	$2,551 - $3,479	1046%
Associated Plan Administrators	$2,606 - $3,554	1069%

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 $973.
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 Rehoboth McKinley Christian Health Care Services 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.