CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Kings County Hospital Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $383
  • Cash Discount Price: $281
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Kings County Hospital Center is $383. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $281. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.57x the Medicare baseline. Located in 451 Clarkson Avenue, Brooklyn, NY.
Cash / Self-Pay
$281

Average discount available for prompt cash payment at this facility.

Insurance Median
$383

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: $281 (115%)
Insurance Median: $383 (157%)
Cash: $281 (115% of Medicare)
Ins. Median: $383 (157% 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.

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 $56 - $1,241 23%
Amidacare $70 - $552 29%
Emblem $70 - $745 29%
Wellcare $75 - $255 31%
Metroplus $88 - $1,241 36%
Fidelis $100 - $1,241 41%
Oscar $104 - $1,702 43%
Aetna $111 - $1,131 46%
Affinity $208 - $1,241 85%
Blue Cross Blue Shield $236 - $1,241 97%
Centerlight $236 - $818 97%
Elderplan $236 - $286 97%
Centers Plan For Healthy Living $246 - $297 101%
Hamaspik $248 102%
Vaccn $286 117%
Vnsny $286 - $563 117%
United $300 - $689 123%
Oxford $522 214%
Carelon $552 - $1,063 226%
Senior Whole Health $552 226%
United Behavioral Health $552 - $607 226%
Carelon (Amida Care) $563 231%
Local 1199 $651 - $1,390 267%
Magnacare $1,227 503%
Cigna $1,285 527%
Multiplan $1,309 537%
Villagecare Max $1,390 570%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals