CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $325
  • Cash Discount Price: $2,591
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Munson Healthcare Cadillac Hospital is $325. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,591. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.33x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$2,591

Average discount available for prompt cash payment at this facility.

Insurance Median
$325

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: $2,591 (1063%)
Insurance Median: $325 (133%)
Cash: $2,591 (1063% of Medicare)
Ins. Median: $325 (133% 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
Blue Cross Blue Shield $41 - $709 17%
Mclaren Health Plan $41 - $1,920 17%
Meridian $41 - $124 17%
Molina $41 - $257 17%
Priority Health $41 - $495 17%
UnitedHealthcare $41 - $1,892 17%
American Health Associates $62 - $238 25%
Autumnwood Of Mcbain Skilled Nursing $62 - $238 25%
Blue Care Network $62 - $238 25%
Hap (Health Alliance Plan) $62 - $2,441 25%
Humana $62 - $238 25%
Medicare (plans) $62 - $238 25%
Michigan Amish Medical Board $62 - $238 25%
Promedica $62 - $238 25%
Samaritas Senior Living Skilled Nursing $62 - $238 25%
Wellcare (Meridian) $62 - $238 25%
Provider Network Of America Group Health $86 - $2,593 35%
Aetna $91 - $2,319 37%
Cofinity $91 - $2,380 37%
Asr/Physicians Care $93 - $2,441 38%
Cigna $96 - $495 39%
Employee Benefits Logistics $105 - $404 43%
Munson Hospice $852 - $2,136 350%
Hospice Of Michigan $1,771 - $1,831 727%
Enterprise Group Planning/Employee Benefit Plan $2,361 - $2,441 969%
Medical Cost Savings Solution $2,361 - $2,441 969%
Nomi Health $2,361 - $2,441 969%
Robbing Group And Regency Employee Benefits $2,361 - $2,441 969%
First Health/Coventry Network $2,508 - $2,593 1029%
Three Rivers Provider Network $2,508 - $2,593 1029%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals