CMS Price Transparency Data

MRI, knee or other leg joint

Facility: University of Michigan Health System

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $368
  • Cash Discount Price: $1,527
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at University of Michigan Health System is $368. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,527. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.51x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.
Cash / Self-Pay
$1,527

Average discount available for prompt cash payment at this facility.

Insurance Median
$368

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: $1,527 (626%)
Insurance Median: $368 (151%)
Cash: $1,527 (626% of Medicare)
Ins. Median: $368 (151% 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
Aetna $41 - $2,888 17%
Ambetter / Centene $41 - $132 17%
Blue Cross Blue Shield $41 - $280 17%
Buckeye Community Health Plan $41 - $132 17%
Hap Midwest $41 - $132 17%
Mclaren Health Plan Inc $41 - $2,668 17%
Medicaid / KanCare $41 - $2,188 17%
Molina Healthcare Of Michigan Inc $41 - $174 17%
Priority Health $41 - $4,375 17%
UnitedHealthcare $41 - $3,194 17%
Amerihealth Michigan Inc $43 - $136 18%
Huron Valley Pace $51 - $162 21%
Blue Care Network Of Michigan $54 - $280 22%
Health Alliance Plan $54 - $170 22%
Humana $54 - $170 22%
Medicare (plans) $54 - $173 22%
Medigold Trinity Health Plan Of Michigan $54 - $170 22%
Meridian Health Plan Of Michigan Inc $54 - $170 22%
Paramount Elite-Ohio $54 - $170 22%
Paramount Health Care $54 - $3,631 22%
Thome Pace $54 - $170 22%
Triwest $54 - $170 22%
Veteran Affairs Community Care Program $54 - $170 22%
Zing Health $56 - $179 23%
Employee Benefit Logistic $91 - $289 37%
Point Comfort Underwriters Unaccompanied Children Program $240 - $1,881 98%
Priority Health [1038] $257 - $2,931 105%
Metrocare $262 - $2,056 107%
Hap [1023] $306 - $3,281 126%
Plain Church Group $335 - $2,625 137%
First Health $363 - $3,244 149%
Cofinity $368 - $2,909 151%
Confinity Advantage $368 - $2,888 151%
Beaumont Health Network $391 - $3,062 160%
Nomi Health $391 - $3,062 160%
Provider Network Of America $391 - $3,062 160%
First Agency $418 - $3,281 171%
Parkview Health Plan Services $418 - $3,281 171%
Bronson Healthcare Group $474 - $3,719 194%
Multiplan $474 - $3,719 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI 48109
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals