CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mount Carmel New Albany Surgical Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$492
about 2.0× the $244 Medicare rate · typically $238–$876
modeled estimate · not a bill or quote
What this hospital charges insurers
$819
Above the fair price
about $327 over the fair price · 3.4× Medicare
Medicare pays $244 Fair price $492 This hospital $819 Cash price $1,543 Hospital's list price $2,374

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 $819

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

A fair price for a MRI, knee or other leg joint is about $492 (about 2.0× the $244 Medicare rate). Mount Carmel New Albany Surgical Hospital charges insurers about $819, or about $1,543 in cash — above the fair price. Located in New Albany, OH.

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 $492. 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 $230 - $1,904 94%
Blue Cross Blue Shieldmajor $225 - $2,849 92%
Aetnamajor $225 - $2,849 92%
Cignamajor $1,875 769%
Humanamajor $971 - $2,849 398%
AmeriHealth $887 - $1,330 364%
CareSource $1,386 - $2,080 569%
GEHA $853 - $1,904 350%
HealthLink $1,424 - $2,137 584%
HealthPartners $1,875 769%
MagnaCare $887 - $1,330 364%
Medical Mutual $565 - $2,260 232%
MVP Health Care $1,875 769%
Oscar Health $230 94%
Priority Health $1,875 769%
Sentara $1,899 - $2,849 779%
UniCare $887 - $1,330 364%
+ 90 smaller / regional plans $230 - $2,422
Government programs also on file: Medicare, Medicaid.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: 7333 Smith's Mill Road, New Albany, OH 43054
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals