CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Duncan Regional Hospital, Inc

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,002

about 4.1× the $244 Medicare rate · typically $327–$1,390

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,042

About the fair price

about $40 over the fair price · 4.3× Medicare

Medicare pays $244 Fair price $1,002 This hospital $1,042 Cash price $493 Hospital's list price $4,608

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $115 Priciest $1,042

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a MRI, knee or other leg joint is about $1,002 (about 4.1× the $244 Medicare rate). Duncan Regional Hospital, Inc charges insurers about $1,042, or about $493 in cash — about the fair price. Located in Duncan, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$3,133	1285%
Blue Cross Blue Shieldmajor	$990 - $1,554	406%
Aetnamajor	$3,917	1607%
Cignamajor	$4,147	1701%
Humanamajor	$246	101%
Friday Health	$628	258%
Health Net	$3,686	1512%
Healthcare Highways	$2,028 - $2,995	832%
Medica	$1,935	794%
+ 2 smaller / regional plans	$4,147 - $4,239

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 493), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Duncan Regional Hospital, Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Duncan Regional Hospital, Inc

Compare: MRI, knee or other leg joint at other OK hospitals

Insurance negotiated median for the same procedure, sorted lowest first.