CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Akron Children's Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $487
  • Cash Discount Price: $2,606
  • vs. Medicare Baseline: 2.00x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Akron Children's Hospital is $487. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,606. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.00x the Medicare baseline. Located in 1 Perkins Square, Akron, OH.
Cash / Self-Pay
$2,606

Average discount available for prompt cash payment at this facility.

Insurance Median
$487

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: $2,606 (1069%)
Insurance Median: $487 (200%)
Cash: $2,606 (1069% of Medicare)
Ins. Median: $487 (200% 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
Aetna $51 - $11,434 21%
Blue Cross Blue Shield $52 - $13,149 21%
Buckeye Community Health Plan $52 - $355 21%
Caresource $52 - $348 21%
Molina $52 - $355 21%
Humana $53 - $12,364 22%
UnitedHealthcare $53 - $10,104 22%
Amerihealth Caritas Ohio $54 - $365 22%
Mmo $97 - $11,517 40%
Autlcare $186 - $10,503 76%
Summacare $193 - $10,902 79%
Cigna $288 - $11,301 118%
Cenpatico $355 146%
Healthplan (Hometown) $1,181 - $4,520 484%
Northern Ohio Handicapped Fund (Nohf $1,251 - $4,786 513%
Ohio Crippled Childrens Fund (Occf $1,251 - $4,786 513%
Amish Church Fund $1,737 - $6,648 713%
Medben $2,640 - $10,104 1083%
Summa Health Employee $2,710 - $10,370 1112%
Summacare Preferred Choice Network $2,734 - $10,463 1122%
The Health Plan (Mountaineer Region) $2,797 - $10,702 1147%
Avita-Osu Health Plan $2,849 - $10,902 1169%
The Health Plan (Fna Hometown Health Network) $2,918 - $11,168 1197%
Healthsmart (Fna Emerald Health Network) $3,040 - $11,633 1247%
Embs/Thomas Steel $3,057 - $11,700 1254%
Ohio Health Choice $3,057 - $11,700 1254%
Phcs/Multiplan $3,057 - $11,700 1254%
Enterprise Group Planning $3,127 - $11,966 1283%
Prime Health Services $3,127 - $11,966 1283%
Primenet $3,127 - $11,966 1283%
Quality Care Partners $3,127 - $11,966 1283%
Beechstreet $3,231 - $12,364 1325%
Ohio Preferred Network $3,231 - $12,364 1325%
Paramount $3,231 - $12,364 1325%
Cofinity $3,266 - $12,497 1340%
Health Reach Ohio Health Group $3,266 - $12,497 1340%
Direct Care America $3,300 - $12,630 1354%
First Health Network $3,300 - $12,630 1354%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Perkins Square, Akron, OH 44308
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens