CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mountain West Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,712
  • Cash Discount Price: $2,277
  • vs. Medicare Baseline: 11.13x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mountain West Medical Center is $2,712. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,277. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.13x the Medicare baseline. Located in 2055 North Main Street, Tooele, UT.
Cash / Self-Pay
$2,277

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,712

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: $2,277 (934%)
Insurance Median: $2,712 (1113%)
Cash: $2,277 (934% of Medicare)
Ins. Median: $2,712 (1113% 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 1113% of the Medicare baseline (a markup of 1013%). 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
Blue Cross Blue Shield $242 - $934 99%
Select Health McR Adv $242 99%
Medicare (plans) $302 124%
Aetna $1,531 628%
U of Ut-All Plans $2,467 1012%
Wise/Motivhealth-All Plans $2,467 1012%
Cigna $2,691 1104%
Dmba-All Plans $2,732 1121%
Pehp-All Plans $2,846 1167%
Select Health-All Other Plans $2,846 1167%
UnitedHealthcare $2,922 1199%
Multiplan Primary Network-All Other Plans $2,998 1230%
Emi-All Plans $3,226 1323%
Humana $3,226 1323%
Multiplan Complimentary Network $3,491 1432%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2055 North Main Street, Tooele, UT 84074
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals