CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,585
Cash Discount Price: $1,223
vs. Medicare Baseline: 6.50x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Cameron Memorial Community Hospital Inc is $1,585. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,223. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.50x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$1,223

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,585

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: $1,223 (502%)

Insurance Median: $1,585 (650%)

Cash: $1,223 (502% of Medicare)

Ins. Median: $1,585 (650% 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 650% of the Medicare baseline (a markup of 550%). 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
Blue Cross Blue Shield	$129 - $1,705	53%
Caresource Indiana Of In	$129 - $1,013	53%
Managed Health Services	$129	53%
Mdwise	$129	53%
Aetna	$555 - $2,379	228%
Humana	$555 - $2,379	228%
UnitedHealthcare	$555 - $2,170	228%
Plain Church Group Ministry	$676 - $1,074	277%
Centivo	$943 - $1,498	387%
Lucent	$943 - $1,498	387%
Phcs	$1,300 - $2,066	533%
Php	$1,315 - $2,089	539%
Sagamore Health Network	$1,339 - $2,126	549%
Signature Care	$1,439 - $2,424	590%
Three Rivers Preferred	$1,474 - $2,341	605%
Cigna	$1,496 - $2,377	614%
Coventry	$1,526 - $2,424	626%
Lutheran Preferred	$1,561 - $2,479	640%
Frontpath	$1,595 - $2,534	654%
Encore	$1,596 - $2,535	655%
Corvel	$1,613 - $2,561	662%

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 $1,223.
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 Cameron Memorial Community Hospital Inc 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.