CMS Price Transparency Data

MRI, knee or other leg joint

Facility: The University of Vermont Health Network - Champl

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $178
Cash Discount Price: $2,474
vs. Medicare Baseline: 0.73x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at The University of Vermont Health Network - Champl is $178. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,474. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.73x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.

Cash / Self-Pay

$2,474

Average discount available for prompt cash payment at this facility.

Insurance Median

$178

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: $2,474 (1015%)

Insurance Median: $178 (73%)

Cash: $2,474 (1015% of Medicare)

Ins. Median: $178 (73% 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
Blue Cross Blue Shield	$30 - $3,024	12%
UnitedHealthcare	$42 - $3,605	17%
Aetna	$60 - $3,369	25%
Capital District Physicians' Health Plan	$60 - $3,725	25%
Fidelis Care	$60 - $295	25%
Humana	$60 - $281	25%
Martins Point	$60 - $316	25%
Veterans Affairs Community Care Network	$60 - $295	25%
Mvp	$82 - $3,761	34%
Highmark Blueshield	$83 - $3,733	34%
Wellpath	$85 - $443	35%
Harvard Pilgrim	$178 - $3,780	73%
Magnacare	$178 - $3,780	73%
St. Regis	$178 - $295	73%
Coventry	$201 - $4,252	82%
Multiplan	$212 - $4,489	87%
Emblem Health	$3,780	1551%

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 $2,474.
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 The University of Vermont Health Network - Champl 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.