CMS Price Transparency Data

MRI, knee or other leg joint

Facility: University Hospitals Ahuja Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $1,685
  • Cash Discount Price: $2,528
  • vs. Medicare Baseline: 6.91x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at University Hospitals Ahuja Medical Center is $1,685. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,528. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.91x the Medicare baseline. Located in 3999 Richmond Road, Beachwood, OH.
Cash / Self-Pay
$2,528

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,685

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: $2,528 (1037%)
Insurance Median: $1,685 (691%)
Cash: $2,528 (1037% of Medicare)
Ins. Median: $1,685 (691% 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 691% of the Medicare baseline (a markup of 591%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $224 - $2,258 92%
Blue Cross Blue Shield $224 - $2,261 92%
Cigna $224 - $2,026 92%
Devoted Health $224 92%
Humana $224 92%
Medical Mutual Of Ohio $224 - $1,752 92%
Molina $224 92%
Primetime Health Plan $224 92%
Summacare $224 - $1,800 92%
The Health Plan $224 - $2,224 92%
UnitedHealthcare $224 - $2,133 92%
Wellcare By Allwell $224 92%
Paramount $231 95%
Perennial Advantage Of Ohio $235 96%
Valor Health Plans $235 96%
Ambetter / Centene $403 165%
Caresource $403 165%
University Health Employee Plan (Contigo) $728 299%
Amish Aid Community Plan $800 328%
Amish Church Fund And Workers Aid Plan $800 328%
Buckeye Plain Ministries $800 328%
Christian Healthcare Ministries $1,351 - $1,685 554%
Aultcare $1,377 565%
Clarity $1,618 664%
Immergrun $1,685 691%
Sunrise Plan Communities $1,685 691%
Jp Farley $1,957 803%
Healthsmart $2,190 898%
Ohio Health Choice $2,190 - $3,033 898%
Medical Mutual Traditional/Health Ohio $2,359 968%
Beech Street $2,696 - $3,033 1106%
Ohio Preferred Network $2,696 - $3,033 1106%
First Health $2,797 1147%
Century Health Network $2,864 1175%
Private Healthcare System $2,898 1189%
Configurenet $3,033 1244%
Fortified Provider Network $3,033 1244%
Multiplan $3,033 1244%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3999 Richmond Road, Beachwood, OH 44122
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals