CMS Price Transparency Data

MRI, knee or other leg joint

Facility: High Point Regional Health System

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,453
Cash Discount Price: $1,728
vs. Medicare Baseline: 5.96x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at High Point Regional Health System is $1,453. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,728. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.96x the Medicare baseline. Located in 601 N Elm St, High Point, NC.

Cash / Self-Pay

$1,728

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,453

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: $1,728 (709%)

Insurance Median: $1,453 (596%)

Cash: $1,728 (709% of Medicare)

Ins. Median: $1,453 (596% 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 596% of the Medicare baseline (a markup of 496%). 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
Amerihealth	$501 - $1,121	206%
Carolina Complete	$501	206%
Healthy Blue	$501	206%
Partners	$501	206%
UnitedHealthcare	$506 - $4,563	208%
Vaya	$506	208%
Wellcare	$506	208%
Alliance	$511	210%
Trillium	$516	212%
Medcost	$926 - $2,215	380%
Aetna	$1,030 - $2,246	423%
Oscar	$1,036 - $1,382	425%
Ambetter / Centene	$1,106	454%
Blue Cross Blue Shield	$1,426 - $2,288	585%
Cigna	$1,897	778%
Directnet	$2,042	838%
Private Healthcare Systems	$2,833	1162%
Multiplan	$3,110	1276%
Humana	$3,213 - $3,282	1318%

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 $1,728.
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 High Point Regional Health System 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.