CMS Price Transparency Data

MRI, knee or other leg joint

Facility: McKenzie-Willamette Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,141
Cash Discount Price: $3,855
vs. Medicare Baseline: 8.78x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at McKenzie-Willamette Medical Center is $2,141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,855. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.78x the Medicare baseline. Located in 1460 G Street, Springfield, OR.

Cash / Self-Pay

$3,855

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,141

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: $3,855 (1581%)

Insurance Median: $2,141 (878%)

Cash: $3,855 (1581% of Medicare)

Ins. Median: $2,141 (878% 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 878% of the Medicare baseline (a markup of 778%). 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
Pacificsource Hlthier Or	$208	85%
Pacificsource Mcaid	$208	85%
Trillium Mcaid-All Plans	$208	85%
Healthnet Mcd	$226	93%
Kaiser Mcr Adv	$266	109%
Healthnet Mcr Adv	$280	115%
Providence Hp Pebb	$532	218%
Blue Cross Blue Shield	$692	284%
Kaiser Mcaid	$963 - $1,927	395%
Pacificsource Non-Individ	$1,040	427%
UnitedHealthcare	$1,603	658%
Pacificsource Individual	$2,141 - $4,283	878%
Healthnet Comm - All Other Plans	$2,192 - $4,386	899%
Pacificsource Psn/Voyager - All Other Plans	$2,752	1129%
Providence Hp - All Other Plans	$2,783 - $5,568	1142%
Cigna	$2,967 - $5,937	1217%
Aetna	$3,426 - $6,853	1405%
Kaiser Comm - All Other Plans	$11,561 - $23,130	4743%

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 $3,855.
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 McKenzie-Willamette Medical Center 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.