CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Cleveland Clinic Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $254
Cash Discount Price: $1,230
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Cleveland Clinic Hospital is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,230. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.04x the Medicare baseline. Located in 3100 Weston Rd, Weston, FL.

Cash / Self-Pay

$1,230

Average discount available for prompt cash payment at this facility.

Insurance Median

$254

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: $1,230 (505%)

Insurance Median: $254 (104%)

Cash: $1,230 (505% of Medicare)

Ins. Median: $254 (104% 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.

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
Blue Cross Blue Shield	$57 - $2,746	23%
Avmed	$63 - $524	26%
Doctors Health Plan	$63 - $278	26%
United	$63 - $524	26%
Wellcare	$63 - $243	26%
Independent Living Systems	$66 - $255	27%
Clear Spring Health	$68 - $298	28%
Cigna	$76 - $528	31%
Aetna	$78 - $1,731	32%
Humana	$243	100%
Devoted Health	$267	110%
Maritime	$290 - $1,236	119%
Multiplan	$290 - $1,608	119%
Clarity Health	$378 - $1,607	155%
The Legacy Companies	$378 - $1,607	155%
Consociate Health	$436 - $1,855	179%
Bmi	$1,041	427%

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 $1,230.
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 Cleveland Clinic 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.