CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Central Peninsula General Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $4,043
Cash Discount Price: $4,454
vs. Medicare Baseline: 16.59x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Central Peninsula General Hospital is $4,043. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,454. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 16.59x the Medicare baseline. Located in 250 Hospital Place, Soldotna, AK.

Cash / Self-Pay

$4,454

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,043

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: $4,454 (1827%)

Insurance Median: $4,043 (1659%)

Cash: $4,454 (1827% of Medicare)

Ins. Median: $4,043 (1659% 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 1659% of the Medicare baseline (a markup of 1559%). 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
Kenai Peninsula Premera - All Other Plans	$2,501 - $2,843	1026%
Kenai Peninsula School	$2,501 - $2,843	1026%
Moda Cph - All Other Plans	$2,501 - $2,843	1026%
Blue Cross Blue Shield	$3,559 - $4,047	1460%
Moda Non-Cph	$3,668 - $4,170	1505%
Cigna	$3,747 - $4,260	1537%
Aetna	$3,751 - $4,265	1539%
UnitedHealthcare	$3,751 - $4,265	1539%
Rehn - All Plans	$3,876 - $4,407	1590%
Geha - All Plans	$4,043 - $4,597	1659%
Multiplan Primary - All Other Plans	$4,043 - $4,597	1659%
Vnpn - All Plans	$4,043 - $4,597	1659%
First Choice Ppo - All Plans	$4,085 - $4,644	1676%
Multiplan Comp	$4,085 - $4,644	1676%

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 $4,454.
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 Central Peninsula General Hospital 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.