CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Helen Newberry Joy Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $151
Cash Discount Price: $96
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Helen Newberry Joy Hospital is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.62x the Medicare baseline. Located in 502 W Harrie St, Newberry, MI.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $96 (39%)

Insurance Median: $151 (62%)

Cash: $96 (39% of Medicare)

Ins. Median: $151 (62% 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.

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
Mi Wc - All Plans	$84 - $1,921	34%
Aetna	$119 - $2,851	49%
Uphg Tpa - All Plans	$119 - $2,701	49%
First Health - All Plans	$125 - $2,851	51%
Ppom/Cofinity - All Plans	$125 - $2,851	51%
Cigna	$128 - $2,911	53%
Health Alliance - All Plans	$128 - $2,911	53%
Healtheos - All Plans	$128 - $2,911	53%
Priority Health - All Plans	$128 - $2,911	53%
UnitedHealthcare	$128 - $2,911	53%
Vital Core - All Plans	$128 - $2,912	53%
Blue Cross Blue Shield	$130 - $2,963	53%
Uphp Mcaid - All Plans	$229 - $1,410	94%
Va - All Plans	$253 - $1,230	104%
Humana	$321 - $1,200	132%
Mi Health Link - All Plans	$321 - $1,200	132%

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 $96.
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 Helen Newberry Joy Hospital 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.