MRI, knee or other leg joint
Facility: Johnson Memorial Hospital
Billing Code: 73721 (CPT)
- CPT Billing Code: 73721
- Insurance Median: $799
- Cash Discount Price: $1,534
- vs. Medicare Baseline: 3.28x 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 328% of the Medicare baseline (a markup of 228%). 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 |
|---|---|---|
| Connecticut Dept of Correction | $264 | 108% |
| UnitedHealthcare | $280 - $3,348 | 115% |
| Medicare (plans) | $280 - $295 | 115% |
| Aetna | $280 - $478 | 115% |
| Blue Cross Blue Shield | $280 - $799 | 115% |
| Cca Senior Care Options | $286 | 117% |
| Cigna | $289 - $2,611 | 119% |
| Fallon Health | $372 | 153% |
| Harvard Pilgrim Healthcare | $373 | 153% |
| Geha | $373 | 153% |
| Hap | $478 | 196% |
| 1199 National Benefit Fund | $478 | 196% |
| Webtpa | $478 | 196% |
| Gravie Admin Services | $478 | 196% |
| Allied Benefit Systems | $478 | 196% |
| Meritain | $478 | 196% |
| Nippon Life Ins | $478 | 196% |
| Luminare Health | $478 | 196% |
| Diversified Administrators | $601 | 247% |
| Innovative Health Plan II | $601 | 247% |
| Claimdoc | $601 | 247% |
| Centivo | $666 | 273% |
| Health Partners | $715 | 293% |
| Allegiance | $715 | 293% |
| Magnacare | $715 | 293% |
| Blue Shield - Ny Highmark Northeastern | $799 | 328% |
| Blue Shield - Id (Regence) | $799 | 328% |
| Health Choices | $799 | 328% |
| Blue Benefit Administrators of Massachusetts | $799 | 328% |
| Wc Domestic | $799 | 328% |
| Bcn Domestic | $799 | 328% |
| Wellpoint | $799 | 328% |
| Blue Shield - PA (Highmark) | $799 | 328% |
| Pre-Employment | $799 | 328% |
| Blue Care Network | $799 | 328% |
| Blue Distinction Transplant | $799 | 328% |
| Kaiser Domestic | $799 | 328% |
| Unicare | $799 | 328% |
| Blue Shield - Wa (Regence) | $799 | 328% |
| Blue Shield - Ny Highmark Western | $799 | 328% |
| Blue Shield - Ca | $799 | 328% |
| Connecticare | $998 - $1,246 | 409% |
| Health New England | $1,450 - $2,176 | 595% |
| Prime Health Services | $1,785 - $2,678 | 732% |
| Multiplan | $1,852 - $2,779 | 760% |
| Trinity Health Share | $1,852 - $2,779 | 760% |
| Asrm - Reliance Standard Life Insurance | $1,852 - $2,779 | 760% |
| Lifetime Benefit Solutions | $1,852 - $2,779 | 760% |
| Ghc Scw | $1,852 - $2,779 | 760% |
| Christian Care Ministry | $1,852 - $2,779 | 760% |
| Pan-American Life | $1,852 - $2,779 | 760% |
| Medi Share | $1,852 - $2,779 | 760% |
| Family Life Insurance Company | $1,852 - $2,779 | 760% |
| Allied National Global Care | $1,852 - $2,779 | 760% |
| Pai | $1,852 - $2,779 | 760% |
| Mvp | $1,852 - $2,779 | 760% |
| Paramount HMO | $1,852 - $2,779 | 760% |
| Dean Health | $1,852 - $2,779 | 760% |
| Manhattan Life | $1,852 - $2,779 | 760% |
| International Benefit Administrators | $1,852 - $2,779 | 760% |
| PHCS | $1,852 - $2,779 | 760% |
| Health Smart | $1,896 - $2,846 | 778% |
| United Behavioral Health Eap | $2,231 - $3,348 | 915% |