CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mercy Hospital Marietta

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,769
  • Cash Discount Price: $5,021
  • vs. Medicare Baseline: 11.36x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mercy Hospital Marietta is $2,769. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,021. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.36x the Medicare baseline. Located in 300 Wanda Street, Marietta, OK.
Cash / Self-Pay
$5,021

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,769

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: $5,021 (2060%)
Insurance Median: $2,769 (1136%)
Cash: $5,021 (2060% of Medicare)
Ins. Median: $2,769 (1136% 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 1136% of the Medicare baseline (a markup of 1036%). 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.

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
Aetna $120 - $4,242 49%
Humana $120 - $1,970 49%
Medicaid / KanCare $120 49%
Blue Cross Blue Shield $1,281 - $3,226 525%
Cross Timbers Hospice [20098] $1,281 - $1,970 525%
Elara Caring Aspire Hospice Contracted [320433] $1,281 - $1,970 525%
Elara Caring Aspire Hospice [20433] $1,281 - $1,970 525%
Halo Hcr Inc Hospice Contracted [320432] $1,281 - $1,970 525%
Halo Hcr Inc Hospice [20432] $1,281 - $1,970 525%
Independent Health [20197] $1,281 - $1,970 525%
Indian Health Service Contracted [320198] $1,281 - $1,970 525%
Kindful Hospice Contracted [320434] $1,281 - $1,970 525%
Kindful Hospice [20434] $1,281 - $1,970 525%
Medical Associates Health [20444] $1,281 - $1,970 525%
Medicare (plans) $1,281 - $2,069 525%
Mercy Hospice Okc [20252] $1,281 - $1,970 525%
UnitedHealthcare $1,345 - $4,260 552%
Tricare $1,354 - $2,083 555%
Cigna $1,400 - $4,564 574%
Webtpa Contracted [320417] $1,662 - $2,556 682%
Aither Health Contracted [320449] $2,374 - $5,173 974%
Mercy Benefit Admin Contracted [320251] $2,374 - $5,477 974%
Quik Trip Contracted [320447] $2,374 - $3,652 974%
Show-Me Health Administrators Contracted [320483] $2,374 - $3,652 974%
Osma Health Contracted [320292] $2,769 - $4,260 1136%
United Medical Resources Contracted [320454] $2,769 - $5,477 1136%
First Health Contracted [320128] $2,797 - $4,303 1147%
Benefit Management Contracted [320052] $2,967 - $5,477 1217%
Healthcare Highways Plus Contracted [320175] $2,967 - $4,564 1217%
Auxiant Contracted [320462] $3,363 - $5,477 1380%
Ebms Contracted [320493] $3,363 - $5,173 1380%
Healthlink Contracted [320179] $3,363 - $5,477 1380%
Preferred Community Choice Contracted [320311] $3,363 - $5,173 1380%
Federal Medical Center Contracted [320127] $3,560 - $5,477 1460%
Healthscope Contracted [320182] $3,560 - $5,477 1460%
Point C Contracted [320238] $3,560 - $5,477 1460%
Preferred Health Plan Contracted [320522] $3,560 - $5,477 1460%
Tri State Healthcare Coalition Contracted [320379] $3,560 - $5,477 1460%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Wanda Street, Marietta, OK 73448
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals