CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Fisher-Titus Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,455
Cash Discount Price: $2,255
vs. Medicare Baseline: 5.97x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Fisher-Titus Hospital is $1,455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,255. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.97x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.

Cash / Self-Pay

$2,255

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,455

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: $2,255 (925%)

Insurance Median: $1,455 (597%)

Cash: $2,255 (925% of Medicare)

Ins. Median: $1,455 (597% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 597% of the Medicare baseline (a markup of 497%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Perennial Advantage	$60 - $238	25%
UnitedHealthcare	$60 - $2,280	25%
Sidecar	$62 - $1,738	25%
Blue Cross Blue Shield	$157 - $2,529	64%
Caresource	$157 - $227	64%
Amerihealth	$162	66%
Buckeye	$162 - $227	66%
Molina	$162	66%
Aetna	$227 - $2,179	93%
Medical Mutual Of Ohio	$227 - $1,455	93%
Paramount	$227 - $2,254	93%
Summacare	$227 - $2,204	93%
Wellcare	$227	93%
Zing Health	$227	93%
Valor Health	$234	96%
Health Ohio Network	$1,754	720%
Tricare	$1,879 - $2,004	771%
Cigna	$2,004	822%
Claimsdoc	$2,004	822%
First Health	$2,254	925%
Multiplan	$2,254	925%
Ohio Health Choice	$2,254	925%
Healthscope	$2,280	935%
Emerald Health	$2,430	997%

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 $2,255.
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 Fisher-Titus Hospital 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.