CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Glens Falls Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$268

about 1.1× the $244 Medicare rate · typically $220–$468

modeled estimate · not a bill or quote

What this hospital charges insurers

$223

Below the fair price — a good deal

about $45 under the fair price · 0.9× Medicare

Medicare pays $244 Fair price $268 This hospital $223 Cash price $387 Hospital's list price $773

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $69 Priciest $223

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a MRI, knee or other leg joint is about $268 (about 1.1× the $244 Medicare rate). Glens Falls Hospital charges insurers about $223, or about $387 in cash — below the fair price — a good deal. Located in Glens Falls, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$144 - $988	59%
Blue Cross Blue Shieldmajor	$192 - $755	79%
Aetnamajor	$68 - $615	28%
Cignamajor	$150 - $520	62%
CDPHP	$130 - $1,206	53%
Fidelis Care	$192 - $1,206	79%
MagnaCare	$872	358%
MVP Health Care	$150 - $1,126	62%
+ 5 smaller / regional plans	$163 - $988

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 387), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Glens Falls Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Glens Falls Hospital

Compare: MRI, knee or other leg joint at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.