CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Hillcrest Hospital Pryor

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,951
Cash Discount Price: $1,125
vs. Medicare Baseline: 8.00x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Hillcrest Hospital Pryor is $1,951. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,125. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.00x the Medicare baseline. Located in 111 North Bailey Street, Pryor, OK.

Cash / Self-Pay

$1,125

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,951

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: $1,125 (462%)

Insurance Median: $1,951 (800%)

Cash: $1,125 (462% of Medicare)

Ins. Median: $1,951 (800% 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 800% of the Medicare baseline (a markup of 700%). 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
Black Lung [6055]	$750 - $1,125	308%
Healthcare Highways [2210]	$750 - $2,926	308%
Hooray Health [8000]	$750 - $1,125	308%
Lucent Health [6000]	$750 - $1,125	308%
Oncology Patient Assistance Programs [2295]	$750 - $1,125	308%
Oscar Insurance Company [7005]	$750 - $1,125	308%
Osma Health Network [2345]	$750 - $1,125	308%
Healthscope Benefits [2290]	$918 - $1,377	377%
UnitedHealthcare	$918 - $1,377	377%
The Kempton Group Administrators [2905]	$1,350 - $2,026	554%
Beacon Health Options Behavioral Health [2890]	$1,861 - $2,791	763%
Global Health [1430]	$1,861 - $2,791	763%
Resource One Administrators [2815]	$1,951 - $2,926	800%
Universal Fidelity [2085]	$1,951 - $2,926	800%
Web Tpa [2115]	$1,951 - $2,926	800%
First Health [1375]	$2,215 - $3,322	909%
Medica [2910]	$2,215 - $3,322	909%
Multiplan [1680]	$2,215 - $3,322	909%
Cigna	$2,470 - $3,705	1013%
Healthpartners [1500]	$2,470 - $3,705	1013%
Pba [1775]	$2,470 - $3,705	1013%
Pending Ssi [1616]	$3,001 - $4,502	1231%

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 $1,125.
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 Hillcrest Hospital Pryor 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.