CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Ohio Valley Surgical Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $253
  • Cash Discount Price: $1,592
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Ohio Valley Surgical Hospital is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,592. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.04x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$1,592

Average discount available for prompt cash payment at this facility.

Insurance Median
$253

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: $1,592 (653%)
Insurance Median: $253 (104%)
Cash: $1,592 (653% of Medicare)
Ins. Median: $253 (104% 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
Aarp $230 94%
Aarp Supplemental $230 94%
Aetna $230 - $253 94%
American Continental Insurance $230 94%
American Continental Life $230 94%
American Republic $230 94%
American Retirement $230 94%
Aultcare Primetime Health Plan $230 94%
Bankers Fidelity $230 94%
Bankers Life And Casualty $230 94%
Blue Cross Blue Shield $230 - $2,614 94%
Central States $230 94%
Champus $230 94%
Cigna $230 - $366 94%
Communicare Advantage $230 94%
Everest $230 94%
Gateway Health Plan $230 94%
Humana $230 94%
Medicare (plans) $230 - $1,592 94%
Medigold $230 94%
Mmoh $230 - $1,221 94%
Molina $230 94%
Molina Dual Mcr $230 94%
Molina Marketplace $230 94%
Molina Dual Mcr $230 94%
Molina Mcr $230 94%
Molina Mcr Mcd $230 94%
Molina Mcr+Mcd $230 94%
Patient No Pay $230 94%
Prosperity Supplement $230 94%
UnitedHealthcare $230 - $376 94%
Wellcare By Allwell $230 94%
Wraparound Pl Supp $230 94%
The Health Plan $242 99%
Geha $253 - $376 104%
Genworth $253 104%
Mail Handlers $253 104%
Meritain $253 104%
Meritain Heatlh $253 104%
Mhbp $253 104%
Ngs Coresource $253 104%
Nippon Life $253 104%
Pacific Source $253 104%
Personify Health $253 104%
Devoted Health $263 108%
Employer Direct $265 109%
Caresource $346 142%
Caresourse $346 142%
Medicaid / KanCare $346 142%
Healthgram $366 150%
Nalc $366 150%
Samba $366 150%
Sbma $366 150%
Unified Group $366 150%
Golden Rule $376 154%
Medica $376 154%
Oxford $376 154%
Shl $376 154%
Surest $376 154%
Ushealth $376 154%
Self Pay Imaging $495 203%
Mmo Cin. Hmo $1,221 501%
Mmoh (Supermed) $1,221 501%
Luminare Health $2,389 980%
Medben $2,389 980%
Ohio Health $2,389 980%
Preferred Health $2,389 980%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals