CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Temple University Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $388
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Temple University Hospital is $388. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.59x the Medicare baseline. Located in 3401 North Broad Street, Philadelphia, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$388

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%)
Insurance Median: $388 (159%)
Ins. Median: $388 (159% 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
Health Partners Plans $186 - $256 76%
Blue Cross Blue Shield $251 - $5,836 103%
Humana $251 103%
UnitedHealthcare $251 - $7,100 103%
Innovage $256 105%
Aetna $258 - $5,617 106%
Cigna $263 - $331 108%
Keystone First $263 - $2,543 108%
Clover Health $266 109%
Upmc Health Plan $268 - $5,220 110%
Geisinger $276 - $5,707 113%
Pennsylvania Health And Wellness $276 - $2,838 113%
Elder Health $301 123%
Gateway Health Plan $313 128%
Wtc Health Program $313 128%
Naphcare $376 154%
Oscar Health $376 154%
Prime Health Services $399 164%
Occunet $414 170%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3401 North Broad Street, Philadelphia, PA 19140
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals