CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Catholic Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,018
Cash Discount Price: $6,985
vs. Medicare Baseline: 4.18x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Catholic Medical Center is $1,018. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,985. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.18x the Medicare baseline. Located in 100 McGregor Street, Manchester, NH.

Cash / Self-Pay

$6,985

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,018

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: $6,985 (2865%)

Insurance Median: $1,018 (418%)

Cash: $6,985 (2865% of Medicare)

Ins. Median: $1,018 (418% 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 418% of the Medicare baseline (a markup of 318%). 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
Blue Cross Blue Shield	$203 - $1,018	83%
Amerihealth Caritas	$555 - $1,027	228%
Well Sense Health Plan	$686 - $1,270	281%
Harvard Pilgrim	$1,113 - $2,303	457%
Maine Community Health	$1,973 - $6,189	809%
United	$2,456 - $6,547	1008%
Cigna	$2,653	1088%
Tufts Health Plan	$3,214 - $6,458	1318%

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 $6,985.
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 Catholic 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.