CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $506
Cash Discount Price: $1,017
vs. Medicare Baseline: 2.08x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mary Hitchcock Memorial Hospital is $506. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,017. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.08x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$1,017

Average discount available for prompt cash payment at this facility.

Insurance Median

$506

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: $1,017 (417%)

Insurance Median: $506 (208%)

Cash: $1,017 (417% of Medicare)

Ins. Median: $506 (208% 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 208% of the Medicare baseline (a markup of 108%). 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
Wellsense Health Plan	$28 - $633	11%
Blue Cross Blue Shield	$62 - $5,225	25%
Martin'S Point Generations Advantage	$62 - $270	25%
Mvp	$62 - $3,471	25%
UnitedHealthcare	$62 - $3,979	25%
Aetna	$64 - $3,637	26%
Cigna	$64 - $3,554	26%
Martin'S Point Health Care	$64 - $1,787	26%
Ambetter / Centene	$65 - $582	27%
Wellcare Health Plans	$65 - $281	27%
Harvard Pilgrim Health Care Of Ne	$78 - $3,324	32%
Beacon Health Strategies/Carelon	$94 - $633	39%
Amerihealth Caritas Nh	$97 - $587	40%
Granite State Health Plan	$97 - $652	40%
Mass General Brigham Health Plan	$180 - $3,223	74%
Tufts Health Plan	$209 - $3,023	86%
Maine Community Health Options	$935 - $3,808	384%
Coventry	$1,277 - $4,507	524%
First Health/Hcvm	$1,277 - $4,507	524%
Phcs	$1,321 - $4,663	542%
Corvel	$1,351 - $4,767	554%
Ccmsi	$1,395 - $4,922	572%

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 $1,017.
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 Mary Hitchcock Memorial 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.