CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Connecticut Childrens Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $986
Cash Discount Price: $782
vs. Medicare Baseline: 4.04x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Connecticut Childrens Medical Center is $986. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $782. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.04x the Medicare baseline. Located in 282 Washington Street, Hartford, CT.

Cash / Self-Pay

$782

Average discount available for prompt cash payment at this facility.

Insurance Median

$986

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: $782 (321%)

Insurance Median: $986 (404%)

Cash: $782 (321% of Medicare)

Ins. Median: $986 (404% 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 404% of the Medicare baseline (a markup of 304%). 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
Golden Rule [100106]	$374 - $1,095	153%
Harvard Pilgrim [1001134]	$374 - $1,095	153%
Oxford [100103]	$374 - $1,095	153%
UnitedHealthcare	$374 - $1,095	153%
Blue Cross Blue Shield	$718 - $984	295%
Unicare [100148]	$718 - $984	295%
Wellpoint [100150]	$718 - $984	295%
Multiplan [1001126]	$951 - $1,108	390%
Aetna	$986 - $1,096	404%
1199 National Benefit Fund [100134]	$1,096	450%
Government Employees Hospital Assoc [100115]	$1,096	450%
Humana	$1,096	450%
Meritain Health [100149]	$1,096	450%
Nippon Life Ins Co Of America [100112]	$1,096	450%
Yale Health Plan [100162]	$1,096	450%
Cdphp/Comm [100199]	$1,108	455%
Generic Multiplan [1001130]	$1,108	455%
Ultrabenefits/Comm [100181]	$1,108	455%

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 $782.
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 Connecticut Childrens Medical Center 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.