CMS Price Transparency Data
MRI, knee or other leg joint
Facility: Mercy Hospital Logan County
Billing Code: 73721 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73721
- Insurance Median: $2,061
- Cash Discount Price: $2,847
- vs. Medicare Baseline: 8.45x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mercy Hospital Logan County is $2,061. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,847. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.45x the Medicare baseline. Located in 200 S Academy Rd, Guthrie, OK.
Cash / Self-Pay
$2,847
Average discount available for prompt cash payment at this facility.
Insurance Median
$2,061
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: $2,847 (1168%)
Insurance Median: $2,061 (845%)
Cash: $2,847 (1168% of Medicare)
Ins. Median: $2,061 (845% 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 845% of the Medicare baseline (a markup of 745%). 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 - $3,126 | 49% |
| Humana | $120 - $1,359 | 49% |
| Medicaid / KanCare | $120 - $1,598 | 49% |
| Health Choice Contracted [320166] | $544 | 223% |
| Tricare | $852 - $1,321 | 350% |
| Blue Cross Blue Shield | $876 - $2,556 | 359% |
| Cherokee Nation Health Serv Contracted [320066] | $876 - $1,359 | 359% |
| Cross Timbers Hospice [20098] | $876 - $1,359 | 359% |
| Dept Of Veteran Affairs Contracted [320106] | $876 - $1,359 | 359% |
| Elara Caring Aspire Hospice Contracted [320433] | $876 - $1,359 | 359% |
| Elara Caring Aspire Hospice [20433] | $876 - $1,359 | 359% |
| Halo Hcr Inc Hospice Contracted [320432] | $876 - $1,359 | 359% |
| Halo Hcr Inc Hospice [20432] | $876 - $1,359 | 359% |
| Independent Health [20197] | $876 - $1,359 | 359% |
| Indian Health Service Contracted [320198] | $876 - $1,359 | 359% |
| Kindful Hospice Contracted [320434] | $876 - $1,359 | 359% |
| Kindful Hospice [20434] | $876 - $1,359 | 359% |
| Medical Associates Health [20444] | $876 - $1,359 | 359% |
| Medicare (plans) | $876 - $2,663 | 359% |
| Mercy Hospice Okc [20252] | $876 - $1,359 | 359% |
| Provider Partners Health Plans Contracted [320450] | $876 - $1,359 | 359% |
| Qual Choice Contracted [320325] | $876 - $1,359 | 359% |
| Tribute Health Plan Mcr Contracted [320338] | $876 - $1,359 | 359% |
| UnitedHealthcare | $876 - $3,728 | 359% |
| Globalhealth Contracted [320145] | $894 - $1,386 | 367% |
| Cigna | $903 - $4,527 | 370% |
| Ambetter / Centene | $1,030 - $1,598 | 423% |
| Home State Health Plan Contracted [320187] | $1,030 - $1,598 | 423% |
| Novasys Contracted [320285] | $1,030 - $1,598 | 423% |
| Webtpa Contracted [320417] | $1,443 - $2,237 | 592% |
| Medica Contracted [320239] | $1,718 - $2,663 | 705% |
| Community Care Contracted [320080] | $1,726 | 708% |
| Aither Health Contracted [320449] | $2,061 - $4,527 | 845% |
| Auxiant Contracted [320462] | $2,061 - $4,527 | 845% |
| Federal Medical Center Contracted [320127] | $2,061 - $3,196 | 845% |
| Healthlink Contracted [320179] | $2,061 - $4,527 | 845% |
| Healthscope Contracted [320182] | $2,061 - $3,196 | 845% |
| Mercy Benefit Admin Contracted [320251] | $2,061 - $4,527 | 845% |
| Point C Contracted [320238] | $2,061 - $3,196 | 845% |
| Preferred Health Plan Contracted [320522] | $2,061 - $3,196 | 845% |
| Quik Trip Contracted [320447] | $2,061 - $3,196 | 845% |
| Show-Me Health Administrators Contracted [320483] | $2,061 - $3,196 | 845% |
| United Medical Resources Contracted [320454] | $2,061 - $3,728 | 845% |
| Osma Health Contracted [320292] | $2,404 - $3,728 | 986% |
| United Behavioral Health Contracted [320390] | $2,404 - $3,728 | 986% |
| Benefit Management Contracted [320052] | $2,576 - $4,793 | 1057% |
| Globalhealth Contracted [320144] | $2,576 - $3,994 | 1057% |
| Healthcare Highways Plus Contracted [320175] | $2,576 - $3,994 | 1057% |
| Private Health Care Systems Contracted [320320] | $2,576 - $4,261 | 1057% |
| First Health Contracted [320128] | $2,686 - $4,165 | 1102% |
| Multiplan Contracted [320270] | $2,748 - $4,793 | 1127% |
| Ebms Contracted [320493] | $2,920 - $4,527 | 1198% |
| Imagine 360 Contracted [320494] | $2,920 - $4,527 | 1198% |
| Preferred Community Choice Contracted [320311] | $2,920 - $4,527 | 1198% |
| Reflect Health Contracted [320492] | $2,920 - $4,527 | 1198% |
| Yuzu Health Contracted [320521] | $2,920 - $4,527 | 1198% |