CMS Price Transparency Data
MRI, knee or other leg joint
Facility: Mercy Hospital Ardmore, Inc
Billing Code: 73721 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73721
- Insurance Median: $2,765
- Cash Discount Price: $3,745
- vs. Medicare Baseline: 11.34x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mercy Hospital Ardmore, Inc is $2,765. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,745. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.34x the Medicare baseline. Located in 1011 14Th Ave Nw, Ardmore, OK.
Cash / Self-Pay
$3,745
Average discount available for prompt cash payment at this facility.
Insurance Median
$2,765
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: $3,745 (1536%)
Insurance Median: $2,765 (1134%)
Cash: $3,745 (1536% of Medicare)
Ins. Median: $2,765 (1134% 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 1134% of the Medicare baseline (a markup of 1034%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $120 - $4,397 | 49% |
| Humana | $120 - $4,770 | 49% |
| Medicaid / KanCare | $120 - $332 | 49% |
| Blue Cross Blue Shield | $242 | 99% |
| Cherokee Nation Health Serv Contracted [320066] | $242 | 99% |
| Cross Timbers Hospice [20098] | $242 | 99% |
| Dept Of Veteran Affairs Contracted [320106] | $242 | 99% |
| Elara Caring Aspire Hospice Contracted [320433] | $242 | 99% |
| Elara Caring Aspire Hospice [20433] | $242 | 99% |
| Halo Hcr Inc Hospice Contracted [320432] | $242 | 99% |
| Halo Hcr Inc Hospice [20432] | $242 | 99% |
| Independent Health [20197] | $242 | 99% |
| Indian Health Service Contracted [320198] | $242 | 99% |
| Kindful Hospice Contracted [320434] | $242 | 99% |
| Kindful Hospice [20434] | $242 | 99% |
| Medical Associates Health [20444] | $242 | 99% |
| Medicare (plans) | $242 - $6,913 | 99% |
| Mercy Hospice Okc [20252] | $242 | 99% |
| Provider Partners Health Plans Contracted [320450] | $242 | 99% |
| Qual Choice Contracted [320325] | $242 | 99% |
| Tribute Health Plan Mcr Contracted [320338] | $242 | 99% |
| Tricare | $242 | 99% |
| Globalhealth Contracted [320145] | $246 | 101% |
| UnitedHealthcare | $246 - $1,513 | 101% |
| Cigna | $249 - $965 | 102% |
| Administrative Payor Contracted [320005] | $320 | 131% |
| Ambetter / Centene | $332 | 136% |
| Home State Health Plan Contracted [320187] | $332 | 136% |
| Novasys Contracted [320285] | $332 | 136% |
| Community Care Contracted [320080] | $369 - $4,839 | 151% |
| Workers Comp [20426] | $409 | 168% |
| Globalhealth Contracted [320144] | $520 | 213% |
| Health Choice Contracted [320166] | $544 | 223% |
| Healthsmart Preferred Care Contracted [320184] | $544 - $4,493 | 223% |
| Kempton Contracted [320214] | $544 | 223% |
| Medica Contracted [320239] | $733 - $6,913 | 301% |
| United Medical Resources Contracted [320454] | $1,513 - $4,493 | 621% |
| Healthcare Highways Plus Contracted [320175] | $1,798 - $4,148 | 738% |
| Webtpa Contracted [320417] | $1,936 - $2,903 | 794% |
| Osma Health Contracted [320292] | $2,074 - $3,111 | 851% |
| Aither Health Contracted [320449] | $2,765 - $4,148 | 1134% |
| Auxiant Contracted [320462] | $2,765 - $4,493 | 1134% |
| Benefit Management Contracted [320052] | $2,765 - $4,493 | 1134% |
| Ebms Contracted [320493] | $2,765 - $4,148 | 1134% |
| Healthlink Contracted [320179] | $2,765 - $4,493 | 1134% |
| Imagine 360 Contracted [320494] | $2,765 - $4,148 | 1134% |
| Mercy Benefit Admin Contracted [320251] | $2,765 - $4,493 | 1134% |
| Quik Trip Contracted [320447] | $2,765 - $4,148 | 1134% |
| Reflect Health Contracted [320492] | $2,765 - $4,148 | 1134% |
| Show-Me Health Administrators Contracted [320483] | $2,765 - $4,148 | 1134% |
| Yuzu Health Contracted [320521] | $2,765 - $4,148 | 1134% |
| Federal Medical Center Contracted [320127] | $2,996 - $4,493 | 1229% |
| Healthscope Contracted [320182] | $2,996 - $4,493 | 1229% |
| Healthsmart Accel Contracted [320183] | $2,996 - $4,493 | 1229% |
| Point C Contracted [320238] | $2,996 - $4,493 | 1229% |
| Preferred Health Plan Contracted [320522] | $2,996 - $4,493 | 1229% |
| Tri State Healthcare Coalition Contracted [320379] | $2,996 - $4,493 | 1229% |
| First Health Contracted [320128] | $3,065 - $4,597 | 1257% |
| Private Health Care Systems Contracted [320320] | $3,457 - $5,530 | 1418% |
| Preferred Community Choice Contracted [320311] | $3,503 - $5,254 | 1437% |
| Multiplan Contracted [320270] | $3,687 - $6,222 | 1512% |