CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,775
Cash Discount Price: $2,513
vs. Medicare Baseline: 11.38x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Holy Cross Hospital - Salt Lake is $2,775. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,513. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.38x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$2,513

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,775

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: $2,513 (1031%)

Insurance Median: $2,775 (1138%)

Cash: $2,513 (1031% of Medicare)

Ins. Median: $2,775 (1138% 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 1138% of the Medicare baseline (a markup of 1038%). 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
Denver Health	$110	45%
Health Choice	$110	45%
Medicaid / KanCare	$110	45%
Rocky Mountain Health Plan	$110	45%
Uuhp	$110 - $1,062	45%
Humana	$127	52%
Medicare (plans)	$127	52%
Employer Direct Healthcare	$159	65%
Motivhealth	$168	69%
Blue Cross Blue Shield	$233 - $3,769	96%
Molina	$297 - $2,698	122%
Cigna	$490 - $5,026	201%
Centura Employee Plan	$543	223%
UnitedHealthcare	$550	226%
Pehp	$1,788 - $6,282	733%
Aetna	$1,850 - $5,308	759%
Wise	$2,178 - $3,330	893%
Deseret Mutual Benefit Administrators	$2,572 - $3,857	1055%
Select Health	$2,772 - $4,158	1137%
Multiplan	$2,890 - $5,717	1186%
Emi Health	$4,188 - $6,282	1718%

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 $2,513.
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 Holy Cross Hospital - Salt Lake 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.