CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Bellevue Hospital Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $428
Cash Discount Price: $283
vs. Medicare Baseline: 1.76x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Bellevue Hospital Center is $428. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $283. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.76x the Medicare baseline. Located in 462 First Avenue, New York, NY.

Cash / Self-Pay

$283

Average discount available for prompt cash payment at this facility.

Insurance Median

$428

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: $283 (116%)

Insurance Median: $428 (176%)

Cash: $283 (116% of Medicare)

Ins. Median: $428 (176% 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
Healthfirst	$55 - $1,241	23%
Amidacare	$69 - $551	28%
Emblem	$69 - $1,309	28%
Wellcare	$74 - $981	30%
Metroplus	$88 - $1,241	36%
Fidelis	$99 - $1,241	41%
Oscar	$103 - $1,702	42%
Aetna	$111 - $1,131	46%
Affinity	$203 - $1,241	83%
Hamaspik	$229 - $242	94%
Blue Cross Blue Shield	$230 - $1,309	94%
Centerlight	$230 - $818	94%
Elderplan	$230 - $1,063	94%
Centers Plan For Healthy Living	$240 - $297	98%
Vaccn	$286	117%
Vnsny	$286 - $1,390	117%
Oxford	$300 - $981	123%
United	$300 - $1,309	123%
Villagecare Max	$425 - $1,390	174%
Carelon	$551 - $1,063	226%
Senior Whole Health	$551	226%
United Behavioral Health	$551 - $607	226%
Carelon (Amida Care)	$562	231%
Local 1199	$651 - $1,390	267%
Magnacare	$1,227	503%
Cigna	$1,285	527%
Multiplan	$1,309	537%

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 $283.
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 Bellevue Hospital 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.