CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Aurora Medical Center Kenosha

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,550
Cash Discount Price: $3,165
vs. Medicare Baseline: 10.46x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Aurora Medical Center Kenosha is $2,550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,165. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.46x the Medicare baseline. Located in 10400 75Th St, Kenosha, WI.

Cash / Self-Pay

$3,165

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,550

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: $3,165 (1298%)

Insurance Median: $2,550 (1046%)

Cash: $3,165 (1298% of Medicare)

Ins. Median: $2,550 (1046% 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 1046% of the Medicare baseline (a markup of 946%). 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
Aurora Caregiver	$650	267%
Blue Cross Blue Shield	$755 - $7,174	310%
UnitedHealthcare	$767 - $7,106	315%
Healthpartners	$954 - $6,330	391%
Centivo	$1,038	426%
Common Ground	$1,083	444%
Aetna	$1,114 - $6,971	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 - $5,064	1039%
Cigna	$2,550 - $7,140	1046%
Health Eos	$3,376 - $6,752	1385%

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 $3,165.
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 Aurora Medical Center Kenosha 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.