CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Guthrie Cortland Regional Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $365
Cash Discount Price: $3,279
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Guthrie Cortland Regional Medical Center is $365. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,279. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.50x the Medicare baseline. Located in 134 Homer Avenue, Cortland, NY.

Cash / Self-Pay

$3,279

Average discount available for prompt cash payment at this facility.

Insurance Median

$365

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: $3,279 (1345%)

Insurance Median: $365 (150%)

Cash: $3,279 (1345% of Medicare)

Ins. Median: $365 (150% 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
Health Partners	$265	109%
Aetna	$286 - $316	117%
Amerihealth	$286 - $316	117%
Blue Cross Blue Shield	$286 - $3,382	117%
Cdphp	$286 - $530	117%
Freedom Blue	$286	117%
Geisinger	$286	117%
Humana	$286 - $317	117%
Icircle	$286 - $322	117%
Mvp	$286 - $3,382	117%
Tricare	$286 - $306	117%
UnitedHealthcare	$286 - $3,100	117%
Upmc	$286	117%
Wellcare	$286 - $4,637	117%
Emblem	$322 - $3,710	132%
Fidelis	$505 - $884	207%
Fidelis Essential	$1,136	466%

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 $3,279.
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 Guthrie Cortland Regional 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.