CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Flushing Hospital Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $654
Cash Discount Price: $1,133
vs. Medicare Baseline: 2.68x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Flushing Hospital Medical Center is $654. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,133. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.68x the Medicare baseline. Located in 45Th Avenue and Parsons Boulevard, Flushing, NY.

Cash / Self-Pay

$1,133

Average discount available for prompt cash payment at this facility.

Insurance Median

$654

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: $1,133 (465%)

Insurance Median: $654 (268%)

Cash: $1,133 (465% of Medicare)

Ins. Median: $654 (268% 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 268% of the Medicare baseline (a markup of 168%). 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
Ghi	$132 - $654	54%
Healthfirst	$267 - $654	110%
Fidelis	$282 - $654	116%
Aetna	$296 - $1,708	121%
Beacon Health Strategies	$296 - $654	121%
Centerlight Healthcare	$296 - $654	121%
Centivo	$296 - $654	121%
Empire	$296 - $1,223	121%
Hip	$296 - $1,995	121%
Metroplus	$296 - $719	121%
UnitedHealthcare	$296 - $1,815	121%
Humana	$299 - $693	123%
Elderplan	$302 - $667	124%
Wellcare Of Ny	$308 - $680	126%
Senior Whole Health	$314 - $693	129%
Centers Plan For Healthy Living	$326 - $719	134%
Elderserve Health	$341 - $752	140%
Hamaspik Choice	$341 - $752	140%
Magnacare	$341 - $752	140%
Cigna	$435 - $2,456	178%
Emblemhealth	$462 - $1,020	190%
Empire Blue Priority	$471 - $1,040	193%
1199 National Benefit Fund	$571	234%
Vns	$1,200	492%
Hotel Trades Council	$1,912	784%
Oscar	$1,964	806%
Villagecaremax	$2,507	1028%

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 $1,133.
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 Flushing Hospital 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.