CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Uhhs Memorial Hospital of Geneva

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $1,986
  • Cash Discount Price: $2,292
  • vs. Medicare Baseline: 8.15x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Uhhs Memorial Hospital of Geneva is $1,986. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,292. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.15x the Medicare baseline. Located in 870 West Main Street, Geneva, OH.
Cash / Self-Pay
$2,292

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,986

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: $2,292 (940%)
Insurance Median: $1,986 (815%)
Cash: $2,292 (940% of Medicare)
Ins. Median: $1,986 (815% 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 815% of the Medicare baseline (a markup of 715%). 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 $611 - $2,258 251%
Blue Cross Blue Shield $611 - $2,915 251%
Cigna $611 - $2,026 251%
Devoted Health $611 251%
Humana $611 251%
Medical Mutual Of Ohio $611 - $3,056 251%
Molina $611 251%
Primetime Health Plan $611 251%
Summacare $611 - $1,800 251%
The Health Plan $611 - $2,017 251%
UnitedHealthcare $611 - $2,466 251%
Wellcare By Allwell $611 251%
Paramount $630 258%
Perennial Advantage Of Ohio $642 263%
Valor Health Plans $642 263%
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%
Ambetter / Centene $1,100 451%
Caresource $1,100 451%
Christian Healthcare Ministries $1,351 - $1,528 554%
Aultcare $1,377 565%
Clarity $1,467 602%
Immergrun $1,528 627%
Sunrise Plan Communities $1,528 627%
Jp Farley $1,957 803%
Healthsmart $1,986 815%
Ohio Health Choice $1,986 - $2,750 815%
Beech Street $2,445 - $2,750 1003%
Ohio Preferred Network $2,445 - $2,750 1003%
First Health $2,536 1040%
Century Health Network $2,598 1066%
Private Healthcare System $2,628 1078%
Configurenet $2,750 1128%
Fortified Provider Network $2,750 1128%
Multiplan $2,750 1128%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 870 West Main Street, Geneva, OH 44041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals