CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Southern Hills Hospital and Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,214
Cash Discount Price: $9,488
vs. Medicare Baseline: 4.98x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Southern Hills Hospital and Medical Center is $1,214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,488. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.98x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$9,488

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,214

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: $9,488 (3892%)

Insurance Median: $1,214 (498%)

Cash: $9,488 (3892% of Medicare)

Ins. Median: $1,214 (498% 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 498% of the Medicare baseline (a markup of 398%). 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 - $1,992	31%
United	$167 - $2,068	69%
Sierra	$400	164%
Cigna	$1,214	498%
Aetna	$1,308	537%
Select Health	$2,049 - $2,187	841%
Corvel	$2,260	927%
Olympus Medsave Usa	$2,379 - $7,116	976%
Prominence Healthfirst	$2,846	1167%
Cmn Global	$3,985	1635%
Evernorth	$4,744	1946%
Nv Health & Welfare Trust	$5,693	2335%
Multiplan	$5,977 - $6,926	2452%
First Health	$6,262 - $7,590	2569%
Medcare International	$7,116	2919%

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 $9,488.
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 Southern Hills Hospital and Medical Center 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.