CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Munson Healthcare Manistee Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $207
  • Cash Discount Price: $3,208
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Munson Healthcare Manistee Hospital is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,208. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.85x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.
Cash / Self-Pay
$3,208

Average discount available for prompt cash payment at this facility.

Insurance Median
$207

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: $3,208 (1316%)
Insurance Median: $207 (85%)
Cash: $3,208 (1316% of Medicare)
Ins. Median: $207 (85% 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 - $1,893 17%
Mclaren Health Plan $41 - $2,830 17%
Meridian $41 - $124 17%
Molina $41 - $257 17%
Priority Health $41 - $495 17%
UnitedHealthcare $41 - $3,397 17%
Aetna $62 - $3,261 25%
Hap (Health Alliance Plan) $62 - $3,019 25%
Humana $62 - $238 25%
Medicare (plans) $62 - $238 25%
Michigan Amish Medical Board $62 - $238 25%
Northern Michigan Mennonite Group $62 - $238 25%
Prime Health Services $62 - $3,472 25%
Wellcare Meridian $62 - $238 25%
Provider Network Of America $86 - $3,208 35%
Cofinity $91 - $3,321 37%
Asr/Physicians Care $93 - $3,019 38%
Cigna $96 - $495 39%
Nomi Health $99 - $3,019 41%
Employee Benefits Logistics $105 - $404 43%
Munson Hospice $852 - $2,642 350%
Hospice Of Michigan $2,264 929%
Enterprise Group Planning/Employee Benefits Plan $3,019 1238%
Medical Cost Savings Solution $3,019 1238%
Three Rivers Provider Network $3,208 1316%
Multiplan $3,321 1362%
Great West Healthcare $3,397 1394%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1465 E Parkdale Ave, Manistee, MI 49660
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals