CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Union Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $237
  • Cash Discount Price: $983
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Union Hospital is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $983. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.97x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$983

Average discount available for prompt cash payment at this facility.

Insurance Median
$237

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: $983 (403%)
Insurance Median: $237 (97%)
Cash: $983 (403% of Medicare)
Ins. Median: $237 (97% 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
Summacare $39 - $707 16%
Aetna $60 - $1,513 25%
Blue Cross Blue Shield $60 - $806 25%
Cigna $60 - $681 25%
Humana $60 - $223 25%
The Health Plan $60 - $1,301 25%
United $60 - $747 25%
Valor $60 - $223 25%
Mmo $62 - $983 25%
Aultcare $63 - $681 26%
Communicare $63 - $235 26%
Perennial Health $65 - $241 27%
Pphp $65 - $246 27%
Zing Health $66 - $246 27%
Cc Ehp $68 - $1,129 28%
Oscar $155 - $582 64%
Devoted Health $223 91%
UnitedHealthcare $223 91%
Upmc $223 - $908 91%
Buckeye $224 92%
Caresource $224 92%
Ohcp $226 - $735 93%
Molina $235 96%
Amerihealth $246 101%
Omas $290 - $756 119%
Healthsmart $320 - $832 131%
Phphi $349 - $908 143%
Gms $407 - $1,059 167%
Consociate Health $436 - $1,135 179%
Multiplan $523 - $1,362 215%
Amish Community Aid Plan $681 - $756 279%
Ohio Healthy $817 335%
Php $908 372%
Medical Benefit Corp $1,059 434%
Frontpath $1,362 559%
Managed Care Services $1,362 559%
Tertiary Care Network $1,362 559%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals