CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $621
Cash Discount Price: $525
vs. Medicare Baseline: 2.55x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Memorial Hospital for Cancer and Allied Diseases is $621. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $525. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.55x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$525

Average discount available for prompt cash payment at this facility.

Insurance Median

$621

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: $525 (215%)

Insurance Median: $621 (255%)

Cash: $525 (215% of Medicare)

Ins. Median: $621 (255% 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 255% of the Medicare baseline (a markup of 155%). 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
Aetna	$69 - $4,074	28%
Fidelis	$69 - $1,396	28%
Healthfirst	$69 - $3,295	28%
Metroplus	$69 - $3,570	28%
Emblem	$215 - $3,806	88%
Oxford	$240 - $1,922	98%
Magnacare	$252 - $4,394	103%
Empire	$256 - $1,128	105%
Urn	$273 - $3,899	112%
6 Degrees Health	$280 - $4,284	115%
UnitedHealthcare	$300 - $2,360	123%
Cigna	$307 - $1,038	126%
Multiplan	$315 - $4,943	129%

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 $525.
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 Memorial Hospital for Cancer and Allied Diseases 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.