CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Beloit Health System

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $3,764
Cash Discount Price: $1,393
vs. Medicare Baseline: 15.44x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Beloit Health System is $3,764. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,393. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.44x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.

Cash / Self-Pay

$1,393

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,764

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: $1,393 (571%)

Insurance Median: $3,764 (1544%)

Cash: $1,393 (571% of Medicare)

Ins. Median: $3,764 (1544% 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 1544% of the Medicare baseline (a markup of 1444%). 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
Aetna	$204 - $8,939	84%
Blue Cross Blue Shield	$204 - $6,116	84%
Dean Health	$204 - $5,266	84%
Independent Care Health Plan	$204 - $251	84%
Quartz	$204 - $6,116	84%
UnitedHealthcare	$204 - $3,143	84%
Cook Children'S Health Plan (Cchp)	$251 - $4,705	103%
Humana	$251 - $3,691	103%
Managed Health Services	$251	103%
Molina Healthcare	$251	103%
Wellcare	$251	103%
Naphcare	$305 - $2,953	125%
The Alliance	$774 - $2,461	318%
Wps	$1,018 - $6,970	418%
Wea Trust	$2,588 - $5,175	1062%
Multiplan	$3,764 - $7,528	1544%
Health Eos	$4,187 - $8,563	1718%
Cigna	$4,329 - $8,939	1776%
Hfn	$4,329 - $8,939	1776%
Preferred Network Access	$4,329 - $8,939	1776%

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 $1,393.
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 Beloit Health System 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.