CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Alliancehealth Durant

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $383
Cash Discount Price: $1,015
vs. Medicare Baseline: 1.57x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Alliancehealth Durant is $383. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,015. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.57x the Medicare baseline. Located in 1800 University Boulevard, Durant, OK.

Cash / Self-Pay

$1,015

Average discount available for prompt cash payment at this facility.

Insurance Median

$383

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: $1,015 (416%)

Insurance Median: $383 (157%)

Cash: $1,015 (416% of Medicare)

Ins. Median: $383 (157% 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.

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
Self Pay	$63 - $2,258	26%
Blue Cross Blue Shield	$66 - $2,370	27%
Cigna	$121 - $4,918	50%
UnitedHealthcare	$131 - $5,047	54%
Healthcare Highways	$150 - $5,370	62%
Aetna	$171 - $13,706	70%
Humana	$171 - $227	70%
Medicaid / KanCare	$171	70%
Veterans Eval Services	$215	88%
Medicare (plans)	$227	93%
Department Of Veterans Affairs	$230	94%
Node Hospice Non Par Agree	$230	94%
Node Va	$230	94%
Tricare	$230	94%
Node Sterling Mcr Adv	$233	96%
Customer Linx	$270 - $9,675	111%
Node Us Dept Of Labor	$288	118%
Phcs Savility	$315 - $11,288	129%
First Health	$338 - $12,900	139%
Healthsmart	$342 - $12,255	140%
Multiplan Complementary	$360 - $12,900	148%
Multiplan Primary	$360 - $12,900	148%
Prime Health Services	$360 - $12,900	148%
One Health Plan	$382 - $13,706	157%
Preferred Community Choice Ppo	$382 - $13,706	157%
Prime Health Work Comp Ok	$396	162%
Comprehensive Medical Care	$405 - $14,512	166%
Ok Work Comp	$409	168%
Healthchoice	$544	223%

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 $1,015.
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 Alliancehealth Durant 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.