CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Albany Medical Center Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $163
  • Cash Discount Price: $308
  • vs. Medicare Baseline: 0.67x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Albany Medical Center Hospital is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $308. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.67x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$308

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $308 (126%)
Insurance Median: $163 (67%)
Cash: $308 (126% of Medicare)
Ins. Median: $163 (67% 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.

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
Cdphp $41 - $1,187 17%
Blue Cross Blue Shield $45 - $1,187 18%
Medicare (plans) $45 - $219 18%
Fidelis $48 - $1,187 20%
Tricare $51 - $192 21%
Hamaspik $57 - $1,240 23%
Medicaid / KanCare $57 - $330 23%
Blue Shield Highmark $59 - $640 24%
UnitedHealthcare $60 - $3,244 25%
Mvp $61 - $528 25%
Aetna $63 - $615 26%
Nascentia $66 - $211 27%
Emblem Health Ghi $67 - $422 27%
Cigna $95 - $520 39%
Nys Department Of Corrections $151 - $502 62%
Blue Shield $155 - $560 64%
Nascentia Health Options $292 120%
Emblem $300 - $494 123%
Empire Plan Nyship $365 - $3,244 150%
Multiplan $388 - $3,447 159%
Emblem_Ghi $494 203%
Mvp Commercial $983 - $1,293 403%
Mvp Essential Plan $1,135 466%
Magnacare $1,486 610%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals