CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Ellenville Regional Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$539

about 2.2× the $244 Medicare rate · typically $256–$987

modeled estimate · not a bill or quote

Medicare pays $244 Fair price $539 Cash price $929 Hospital's list price $1,239

How we calculate the fair BaseRate →

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✓ Humana CignaKaiser 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	$30 - $2,328	12%
Blue Cross Blue Shieldmajor	$80 - $911	33%
Aetnamajor	$92 - $1,750	38%
Humanamajor	$80 - $911	33%
CDPHP	$74 - $843	30%
EmblemHealth	$68 - $1,822	28%
Fidelis Care	$80 - $911	33%
MVP Health Care	$84 - $1,334	34%
WellCare	$109 - $1,253	45%
+ 3 smaller / regional plans	$80 - $2,328

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 929), 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 Ellenville Regional 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 Ellenville Regional Hospital

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

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