CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Henry County Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $478
Cash Discount Price: $2,827
vs. Medicare Baseline: 1.96x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Henry County Memorial Hospital is $478. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,827. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.96x the Medicare baseline. Located in 1000 N 16Th St, New Castle, IN.

Cash / Self-Pay

$2,827

Average discount available for prompt cash payment at this facility.

Insurance Median

$478

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: $2,827 (1160%)

Insurance Median: $478 (196%)

Cash: $2,827 (1160% of Medicare)

Ins. Median: $478 (196% 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
UnitedHealthcare	$53 - $3,289	22%
Blue Cross Blue Shield	$60 - $3,092	25%
Caresource Hip	$60 - $256	25%
Humana	$60 - $3,555	25%
Caresource Mcr Adv	$62 - $261	25%
Aetna	$65 - $3,434	27%
Caresource Marketplace-All Other Plans	$82 - $486	34%
Caresource Just4Me	$91 - $640	37%
Encore Workers Comp-All Plans	$104 - $3,838	43%
Caresource Mcaid	$133 - $192	55%
Cigna	$276 - $2,747	113%
Health Alliance-All Plans	$469 - $3,434	192%
Workers Comp - All Plans	$497 - $3,636	204%

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 $2,827.
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 Henry County Memorial 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.