CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$270

about 1.1× the $244 Medicare rate · typically $242–$552

modeled estimate · not a bill or quote

What this hospital charges insurers

$271

About the fair price

about $1 over the fair price · 1.1× Medicare

Medicare pays $244 Fair price $270 This hospital $271 Cash price $1,017 Hospital's list price $3,325

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 5 charge more and 3 charge less, among the 9 NH hospitals compared.

Cheapest $136 Priciest $833

Black dot = this hospital, among the 9 NH 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 $270 (about 1.1× the $244 Medicare rate). Mary Hitchcock Memorial Hospital charges insurers about $271, or about $1,017 in cash — about the fair price. Located in Lebanon, NH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$62 - $3,979	25%
Blue Cross Blue Shieldmajor	$62 - $5,225	25%
Aetnamajor	$64 - $4,507	26%
Cignamajor	$64 - $3,554	26%
Ambetter (Centene)	$65 - $582	27%
AmeriHealth	$97 - $587	40%
Harvard Pilgrim	$78 - $3,324	32%
MVP Health Care	$62 - $3,471	25%
Tufts Health Plan	$209 - $3,023	86%
WellCare	$65 - $281	27%
WellSense	$28 - $633	11%
+ 7 smaller / regional plans	$62 - $4,922

Excludes 3 rental-network / third-party entries (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 1,017), 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 Mary Hitchcock Memorial 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 Mary Hitchcock Memorial Hospital

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

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