CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Little Falls Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$238
about 1.0× the $244 Medicare rate · typically $107–$817
modeled estimate · not a bill or quote
What this hospital charges insurers
$306
Above the fair price
about $68 over the fair price · 1.3× Medicare
Medicare pays $244 Fair price $238 This hospital $306 Cash price $514 Hospital's list price $1,902

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $69 Priciest $306

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a MRI, knee or other leg joint is about $238 (about 1.0× the $244 Medicare rate). Little Falls Hospital charges insurers about $306, or about $514 in cash — above the fair price. Located in Little Falls, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $238. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $93 - $972 38%
Blue Cross Blue Shieldmajor $98 - $4,556 40%
Aetnamajor $100 - $1,146 41%
Cignamajor $283 - $4,164 116%
Humanamajor $101 - $1,050 41%
CDPHP $96 - $1,136 39%
Fidelis Care $100 - $1,040 41%
MVP Health Care $96 - $1,086 39%
+ 1 smaller / regional plan $93 - $972

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 140 Burwell Street, Little Falls, NY 13365
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals