CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Okeene Municipal Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,061
Cash Discount Price: $1,264
vs. Medicare Baseline: 4.35x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Okeene Municipal Hospital is $1,061. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,264. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.35x the Medicare baseline. Located in 207 East F Street, Okeene, OK.

Cash / Self-Pay

$1,264

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,061

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: $1,264 (519%)

Insurance Median: $1,061 (435%)

Cash: $1,264 (519% of Medicare)

Ins. Median: $1,061 (435% 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 435% of the Medicare baseline (a markup of 335%). 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
Pref Community Choice Ppo-All Plans	$237	97%
Blue Cross Blue Shield	$410 - $901	168%
Humana	$600 - $1,580	246%
Coventry Mcr Adv	$901	370%
Global Health Mcr Adv	$901	370%
Medicare (plans)	$901	370%
UnitedHealthcare	$901 - $1,123	370%
Cigna	$967	397%
Ihs-All Plans	$1,024	420%
Ok Complete Health Comm-All Other Plans	$1,099	451%
Aetna	$1,106 - $1,580	454%
Healthchoice Ip Only-All Plans	$1,106	454%
Global Health-All Other Plans	$1,171	480%
Healthcare Highways-All Plans	$1,185	486%
Phcs Savility/Multiplan - All Plans	$1,185	486%
Medica Commercial-All Other Plans	$1,216	499%
Community Care Hmo-All Plans	$1,422	583%
Ok Complete Health Mcaid	$1,580	648%

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 $1,264.
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 Okeene Municipal Hospital 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.