CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Aurora Medical Ctr Washington County

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $1,352
  • Cash Discount Price: $2,110
  • vs. Medicare Baseline: 5.55x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Aurora Medical Ctr Washington County is $1,352. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,110. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.55x the Medicare baseline. Located in 1032 E Sumner St, Hartford, WI.
Cash / Self-Pay
$2,110

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,352

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: $2,110 (866%)
Insurance Median: $1,352 (555%)
Cash: $2,110 (866% of Medicare)
Ins. Median: $1,352 (555% 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 555% of the Medicare baseline (a markup of 455%). 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
Aurora Caregiver $650 267%
Blue Cross Blue Shield $755 - $3,587 310%
UnitedHealthcare $767 - $3,553 315%
Healthpartners $954 - $3,165 391%
Centivo $1,038 426%
Common Ground $1,083 444%
Aetna $1,114 - $3,486 457%
Health Payment Systems $1,170 480%
Quartz One $1,200 492%
Molina Exchange $1,273 522%
Hs Technology $1,350 554%
Quartz Group $1,350 554%
Everpointe Elite $1,352 555%
Trilogy $1,520 624%
Wisconsin Physician Service $1,636 - $1,722 671%
Health Eos Plus $2,532 1039%
Cigna $2,550 - $3,570 1046%
Health Eos $3,376 1385%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1032 E Sumner St, Hartford, WI 53027
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals