CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Hillcrest Hospital Henryetta

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $4,036
Cash Discount Price: $1,976
vs. Medicare Baseline: 16.56x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Hillcrest Hospital Henryetta is $4,036. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,976. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 16.56x the Medicare baseline. Located in 2401 W Main, Henryetta, OK.

Cash / Self-Pay

$1,976

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,036

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: $1,976 (811%)

Insurance Median: $4,036 (1656%)

Cash: $1,976 (811% of Medicare)

Ins. Median: $4,036 (1656% 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 1656% of the Medicare baseline (a markup of 1556%). 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]	$1,317 - $1,976	540%
Lucent Health [6000]	$1,317 - $1,976	540%
Cigna	$2,887 - $4,331	1184%
Healthpartners [1500]	$2,887 - $4,331	1184%
National Association Of Letter Carriers [1695]	$2,887 - $4,331	1184%
Pba [1775]	$2,887 - $4,331	1184%
Global Health [1430]	$3,267 - $4,900	1340%
First Health [1375]	$3,572 - $5,359	1465%
Multiplan [1680]	$3,572 - $5,359	1465%
Healthcare Solutions [1485]	$3,741 - $5,611	1535%
Healthsmart [1505]	$4,479 - $6,718	1837%
Pending Ssi [1616]	$5,269 - $7,904	2161%

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 $1,976.
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 Henryetta 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.