CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Intermountain Health Utah Valley Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $1,064
  • Cash Discount Price: $2,598
  • vs. Medicare Baseline: 4.36x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Intermountain Health Utah Valley Hospital is $1,064. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,598. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.36x the Medicare baseline. Located in 1034 North 500 West, Provo, UT.
Cash / Self-Pay
$2,598

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,064

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: $2,598 (1066%)
Insurance Median: $1,064 (436%)
Cash: $2,598 (1066% of Medicare)
Ins. Median: $1,064 (436% 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 436% of the Medicare baseline (a markup of 336%). 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
Donor Connect $48 - $825 20%
Aetna $63 - $2,945 26%
American Health $63 - $251 26%
Blue Cross Blue Shield $63 - $2,633 26%
Health Partners Of Nevada $63 - $241 26%
Health Plan Of Nevada $63 - $1,039 26%
Healthy U $63 - $201 26%
Humana $63 - $253 26%
Molina $63 - $2,841 26%
Selecthealth $63 - $1,753 26%
Southwest Behavioral Health $63 - $223 26%
UnitedHealthcare $63 - $2,945 26%
Triwest $232 95%
Intermountain Caregiver Plan $654 - $1,670 268%
Awh Connected $1,064 - $2,235 436%
Byu Athletics $1,064 - $2,494 436%
Campbell Scientific $1,064 - $2,494 436%
Deseret Mutual $1,064 - $1,992 436%
Emi $1,064 - $1,871 436%
Emi Health $1,064 - $2,404 436%
Franklin County $1,064 - $2,494 436%
Ifit $1,064 - $2,494 436%
Juniper Systems $1,064 - $2,494 436%
Lw Miller $1,064 - $2,494 436%
Pehp $1,064 - $3,083 436%
Tanner Llc $1,064 - $2,494 436%
Utah Tech $1,064 - $2,494 436%
Cigna $2,183 - $2,945 896%
Byu Risk Management $2,425 - $2,529 995%
Corporation Of The President $2,425 - $2,529 995%
Wcf Insurance $2,425 - $2,529 995%
Corvel Corporation $2,494 1023%
Injury Care Of Nevada $2,598 1066%
Managed Care Admin $2,702 1108%
Prodegi Corp Benefit $2,841 1165%
Uofu $2,841 1165%
Springtide $2,875 1179%
Altius Mhnet Behavioral Health $2,945 1208%
Global Excel $2,945 1208%
Medcare International $2,945 1208%
Motivhealth $2,945 1208%
Utah Behavioral Health Network $2,945 1208%
Wise Network $2,945 1208%
Hygeia Corporation $3,118 1279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1034 North 500 West, Provo, UT 84604
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals