CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mountainview Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $3,464
Cash Discount Price: $14,367
vs. Medicare Baseline: 14.21x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mountainview Hospital is $3,464. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,367. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.21x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.

Cash / Self-Pay

$14,367

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,464

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: $14,367 (5894%)

Insurance Median: $3,464 (1421%)

Cash: $14,367 (5894% of Medicare)

Ins. Median: $3,464 (1421% 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 1421% of the Medicare baseline (a markup of 1321%). 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	$64 - $268	26%
Ambetter / Centene	$75 - $3,352	31%
United	$167 - $3,480	69%
Sierra	$400	164%
Cigna	$1,214	498%
Aetna	$1,374	564%
Select Health	$1,724 - $3,679	707%
Corvel	$2,260	927%
Olympus Medsave Usa	$2,379 - $11,971	976%
Prominence Healthfirst	$2,395 - $4,788	982%
Cmn Global	$3,353 - $6,704	1375%
Emerging Therapy Solutions	$3,912 - $10,694	1605%
Nv Health & Welfare Trust	$4,790 - $9,577	1965%
Multiplan	$5,029 - $11,652	2063%
First Health	$5,269 - $12,769	2161%
Medcare International	$5,987 - $11,971	2456%

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 $14,367.
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 Mountainview 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.