CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Montefiore New Rochelle Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $505
Cash Discount Price: $660
vs. Medicare Baseline: 2.07x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Montefiore New Rochelle Hospital is $505. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $660. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.07x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.

Cash / Self-Pay

$660

Average discount available for prompt cash payment at this facility.

Insurance Median

$505

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: $660 (271%)

Insurance Median: $505 (207%)

Cash: $660 (271% of Medicare)

Ins. Median: $505 (207% 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 207% of the Medicare baseline (a markup of 107%). 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
Healthfirst	$146 - $286	60%
Emblem	$286 - $606	117%
Empire	$286 - $1,010	117%
Fidelis	$286 - $606	117%
Metroplus	$286 - $909	117%
UnitedHealthcare	$286 - $518	117%
Villagecaremax	$286	117%
Vnsny Choice	$286 - $581	117%
Wellcare	$292 - $510	120%
Centerlight	$295	121%
Amidacare	$300 - $505	123%
Partners_Health_Plan	$300	123%
Hamaspik	$309 - $530	127%
Humana	$315	129%
Molina Healthcare Of Ny Affinity	$395 - $1,116	162%
Oscar	$452	185%
Medicaid / KanCare	$505	207%
Mvp	$505 - $1,035	207%
Vnsny Select Health	$581	238%
Centivo	$640 - $660	263%
Aetna	$722 - $808	296%
Northwell	$769	315%
Cigna	$3,987	1636%

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 $660.
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 Montefiore New Rochelle 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.