CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Deborah Heart and Lung Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $589
Cash Discount Price: $2,429
vs. Medicare Baseline: 2.42x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Deborah Heart and Lung Center is $589. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,429. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.42x the Medicare baseline. Located in 200 Trenton Road, Browns Mills, NJ.

Cash / Self-Pay

$2,429

Average discount available for prompt cash payment at this facility.

Insurance Median

$589

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: $2,429 (996%)

Insurance Median: $589 (242%)

Cash: $2,429 (996% of Medicare)

Ins. Median: $589 (242% 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 242% of the Medicare baseline (a markup of 142%). 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
UnitedHealthcare	$235 - $589	96%
Amerihealth HMO & PPO	$267 - $589	110%
Clover Health	$267 - $589	110%
Horizon	$267 - $589	110%
Humana	$267 - $589	110%
Health Partner Plan	$275 - $607	113%
Aetna	$296 - $2,260	121%
Naphcare	$534 - $1,179	219%
Amerihealth HMO & PPO Local Value	$735 - $1,623	302%
Amerihealth HMO &PPO Regional and Indep	$778 - $1,716	319%
Horizon Indemnity	$1,167 - $2,576	479%
Horizon Managed Care	$1,167 - $2,576	479%
Cigna	$1,423	584%

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 $2,429.
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 Deborah Heart and Lung 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.