CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Duke University Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$283

about 1.2× the $244 Medicare rate · typically $236–$974

modeled estimate · not a bill or quote

What this hospital charges insurers

$279

About the fair price

about $4 under the fair price · 1.1× Medicare

Medicare pays $244 Fair price $283 This hospital $279 Cash price $1,314 Hospital's list price $4,868

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $195 Priciest $279

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $283 (about 1.2× the $244 Medicare rate). Duke University Hospital charges insurers about $279, or about $1,314 in cash — about the fair price. Located in Durham, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$276 - $2,536	113%
Blue Cross Blue Shieldmajor	$276 - $4,868	113%
Aetnamajor	$267 - $2,692	110%
Cignamajor	$240 - $4,868	98%
Humanamajor	$283 - $4,137	116%
AmeriHealth	$734 - $815	301%
Sentara	$3,032	1244%
+ 7 smaller / regional plans	$235 - $815

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,314), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Duke University Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Duke University Hospital

Compare: MRI, knee or other leg joint at other NC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.