CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Cheshire Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $408
Cash Discount Price: $616
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Cheshire Medical Center is $408. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $616. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.67x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$616

Average discount available for prompt cash payment at this facility.

Insurance Median

$408

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: $616 (253%)

Insurance Median: $408 (167%)

Cash: $616 (253% of Medicare)

Ins. Median: $408 (167% 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.

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
Aetna	$64 - $2,638	26%
Ambetter / Centene	$67 - $225	27%
Blue Cross Blue Shield	$67 - $3,063	27%
Cigna	$67 - $1,909	27%
Martin'S Point Generations Advantage	$67 - $253	27%
Martin'S Point Health Care	$67 - $253	27%
Mvp	$67 - $1,909	27%
UnitedHealthcare	$67 - $2,927	27%
Wellcare Health Plans	$67 - $253	27%
Wellsense Health Plan	$67 - $531	27%
Amerihealth Caritas Nh	$74 - $472	30%
Granite State Health Plan	$101 - $644	41%
Harvard Pilgrim Health Care Of Ne	$129 - $1,753	53%
Mass General Brigham Health Plan	$173 - $3,856	71%
Tufts Health Plan	$190 - $2,461	78%
Maine Community Health Options	$273 - $1,735	112%
First Health/Hcvm	$515 - $3,278	211%
Phcs	$545 - $3,470	224%

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 $616.
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 Cheshire 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.