CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Cleveland Clinic

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $391
  • Cash Discount Price: $983
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Cleveland Clinic is $391. 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 1.60x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$983

Average discount available for prompt cash payment at this facility.

Insurance Median
$391

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: $391 (160%)
Cash: $983 (403% of Medicare)
Ins. Median: $391 (160% 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 - $722 16%
Aetna $60 - $2,094 25%
Blue Cross Blue Shield $60 - $1,285 25%
Devoted Health $60 - $224 25%
Humana $60 - $1,286 25%
The Health Plan $60 - $1,152 25%
United $60 - $1,168 25%
UnitedHealthcare $60 - $1,340 25%
Upmc $60 - $1,256 25%
Valor $60 - $224 25%
Cigna $62 - $1,675 25%
Communicare $63 - $235 26%
Perennial Health $65 - $242 27%
Pphp $65 - $246 27%
Zing Health $66 - $246 27%
Cc Ehp $115 - $944 47%
Oscar $155 - $582 64%
Mmo $199 - $1,814 82%
Paramount $205 - $275 84%
Buckeye $209 - $280 86%
Caresource $209 - $267 86%
Amerihealth $219 90%
Molina $219 - $280 90%
Ohcp $226 - $815 93%
Ohio Healthy $232 - $1,059 95%
Aultcare $250 - $900 103%
Amish Community Aid Plan $261 - $942 107%
Omas $290 - $1,047 119%
United Bh $293 120%
Healthsmart $320 - $1,152 131%
Phphi $349 - $1,256 143%
Clarity Health $378 - $1,361 155%
Gms $407 - $1,466 167%
Quality Care Partners $407 - $1,466 167%
Consociate Health $436 - $1,570 179%
Multiplan $523 - $1,885 215%
Three Rivers $523 - $1,885 215%
Usa Managed Care $523 - $1,885 215%
Php $908 372%
Medical Benefit Corp $1,059 434%
Parkview Health Plan $1,059 434%
Community Health Alliance $1,210 496%
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: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals