MRI, knee or other leg joint
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 73721 (CPT)
- CPT Billing Code: 73721
- Insurance Median: $4,544
- Cash Discount Price: $6,059
- vs. Medicare Baseline: 18.64x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1864% of the Medicare baseline (a markup of 1764%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $3,635 | 1491% |
| Americas Choice Provider Network | $4,241 | 1740% |
| Usa Managed Care Organization | $4,544 | 1864% |
| Velocity | $4,544 | 1864% |
| Quiktrip Corporation | $4,544 | 1864% |
| Provider Network Of America | $4,544 | 1864% |
| Multiplan-Phcs | $4,847 | 1988% |
| Prime Health Services | $5,150 | 2113% |
| Medincrease | $5,453 | 2237% |
Consumer Guidance & Cost Commentary
For the MRI of a knee or other leg joint at the Rehabilitation Hospital Of Overland Park, the cash median price is $6,059.00, which is 18.6% higher than the Medicare benchmark of $243.77. While nine different payers have negotiated rates ranging from $3,635 to $5,453, these amounts are generally higher than the cash price. This pricing structure highlights a common billing dynamic where commercial insurance contracts often include administrative overheads that inflate the allowed amount above the direct cash rate. For patients with high-deductible plans who have not yet met their out-of-pocket thresholds, paying the cash price of $6,059.00 upfront may result in lower total out-of-pocket costs compared to having insurance cover a negotiated rate that exceeds the cash amount.
To maximize savings, patients should proactively ask the facility about "self-pay" or "prompt-pay" discounts before scheduling or receiving services. Hospitals frequently offer fee reductions of 20% to 50% for upfront payments, bypassing the costly claims processing cycle and administrative labor associated with insurance billing. If a patient chooses to use insurance, they must be aware that balance billing could occur if out-of-network ancillary services are rendered, though the No Surprises Act provides protections for emergency care and non-emergency services at in-network facilities. Regardless of the payment method selected, it is essential to request a full, itemized bill containing specific CPT codes before agreeing to any payment plan or finalizing the transaction to ensure accuracy and avoid unexpected charges.