CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Parkland Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $3,795
Cash Discount Price: $9,776
vs. Medicare Baseline: 15.57x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Parkland Medical Center is $3,795. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,776. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.57x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.

Cash / Self-Pay

$9,776

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,795

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: $9,776 (4010%)

Insurance Median: $3,795 (1557%)

Cash: $9,776 (4010% of Medicare)

Ins. Median: $3,795 (1557% 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 1557% of the Medicare baseline (a markup of 1457%). 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 Caritas	$261 - $344	107%
Blue Cross Blue Shield	$328 - $1,276	135%
Well Sense Health Plan	$632 - $833	259%
Harvard Pilgrim	$741 - $5,005	304%
United	$1,771 - $6,750	727%
Maine Community Health	$2,637 - $5,892	1082%
Tufts Health Plan	$4,823 - $6,552	1979%
Aetna	$5,017 - $7,428	2058%
Corvel	$6,071 - $8,006	2490%
Evernorth	$6,745 - $8,896	2767%
Healthcare Value Mgmt	$7,083 - $9,341	2906%
First Health	$7,167 - $9,452	2940%
Oxford Health Plans	$8,010 - $10,564	3286%

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 $9,776.
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 Parkland Medical Center 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.