CMS Price Transparency Data

MRI, knee or other leg joint

Facility: The Women's Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $218
  • Cash Discount Price: $2,140
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at The Women's Hospital is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,140. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.89x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$2,140

Average discount available for prompt cash payment at this facility.

Insurance Median
$218

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: $2,140 (878%)
Insurance Median: $218 (89%)
Cash: $2,140 (878% of Medicare)
Ins. Median: $218 (89% 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.

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 $55 - $2,902 23%
Chamber Care $60 - $2,539 25%
Immergrun $72 - $1,516 30%
Amish $87 - $431 36%
Encorecombined $95 - $2,539 39%
Encoreprime $95 - $2,467 39%
Self Pay $96 - $2,140 39%
Blue Cross Blue Shield $127 - $800 52%
Caresource $127 - $218 52%
Humana $127 - $834 52%
Iu Health $127 - $1,814 52%
Meridian Health Il $127 - $218 52%
Mhs $127 - $218 52%
Molina Il $127 - $218 52%
Molina Ky $127 - $218 52%
Molina Ky Dual $127 - $218 52%
Patoka Valley Health Care (80/20 Plan) $127 - $2,249 52%
Patoka Valley Health Care (90/10 Plan) $127 - $2,176 52%
Wellcare Ky $127 - $834 52%
Caresource Hip $129 - $131 53%
Caresource In $129 - $131 53%
Mdwise Hip $129 - $131 53%
Mhs Behavioral $129 - $131 53%
Aetna $130 - $2,416 53%
Ambetter / Centene $146 - $339 60%
Alliance Coal $165 - $2,514 68%
Allied National/Zelis - Freedom Plan $165 - $739 68%
Caresource Marketplace (Just4Me) $165 - $328 68%
Center Care $165 - $2,829 68%
Cigna $165 - $1,971 68%
One Care $165 - $2,539 68%
Sagamore $165 - $1,971 68%
Hst $172 - $328 71%
Claimdoc $184 - $838 75%
Claritev (Formerly Phcs/Mulitplan) $192 - $2,503 79%
First Health/Coventry $192 - $2,684 79%
Healthlink $192 - $3,083 79%
Hope Trust $204 - $360 84%
Noncontracted $204 - $349 84%
Passport Molina Ky $292 - $834 120%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals