CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Columbia Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $70
Cash Discount Price: $1,258
vs. Medicare Baseline: 0.29x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Columbia Memorial Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,258. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.29x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$1,258

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

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: $1,258 (516%)

Insurance Median: $70 (29%)

Cash: $1,258 (516% of Medicare)

Ins. Median: $70 (29% 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
UnitedHealthcare	$26 - $371	11%
Mvp	$46 - $1,108	19%
Cdphp	$49 - $1,188	20%
Medicare (plans)	$50 - $66	21%
Blue Cross Blue Shield	$56 - $977	23%
Tricare	$56 - $66	23%
Medicaid / KanCare	$57 - $528	23%
Hamaspik	$62 - $718	25%
Emblem Health Ghi	$63	26%
Fidelis	$63 - $1,188	26%
Aetna	$68 - $1,025	28%
Blue Shield Highmark	$71 - $83	29%
Cigna	$209	86%
Emblem	$300 - $500	123%
Empire Plan Nyship	$402	165%
Blue Shield	$416 - $496	171%
Herrington Diversified Pdh	$429	176%
Mvp Commercial	$1,400	574%
Magnacare	$1,937 - $1,989	795%
Multiplan	$2,264 - $2,325	929%

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 $1,258.
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 Columbia Memorial Hospital 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.