CMS Price Transparency Data

MRI, knee or other leg joint

Facility: South Pointe Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$247

about 1.0× the $244 Medicare rate · typically $233–$447

modeled estimate · not a bill or quote

What this hospital charges insurers

$242

About the fair price

about $5 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $247 This hospital $242 Cash price $983 Hospital's list price $1,513

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $107 Priciest $242

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $247 (about 1.0× the $244 Medicare rate). South Pointe Hospital charges insurers about $242, or about $983 in cash — about the fair price. Located in Warrensville Heights, OH.

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	$213 - $938	87%
Blue Cross Blue Shieldmajor	$224 - $1,116	92%
Aetnamajor	$224 - $1,513	92%
Cignamajor	$231 - $1,355	95%
Humanamajor	$224 - $1,286	92%
AmeriHealth	$267	110%
CareSource	$259	106%
Devoted Health	$224	92%
Molina	$255	105%
Oscar Health	$456 - $582	187%
Paramount	$250	103%
UniCare	$235	96%
UPMC Health Plan	$224 - $908	92%
+ 16 smaller / regional plans	$224 - $1,814

Excludes 4 rental-network / third-party entries (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 983), 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 South Pointe 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 South Pointe Hospital

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

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