CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Lehigh Valley Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $464
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Lehigh Valley Hospital is $464. 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 1.90x the Medicare baseline. Located in 1200 South Cedar Crest Boulevard, Allentown, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$464

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: $464 (190%)
Ins. Median: $464 (190% 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
Cigna $214 - $786 88%
Amerihealth $252 - $260 103%
Blue Cross Blue Shield $252 - $1,901 103%
Ibc $252 - $2,960 103%
UnitedHealthcare $252 - $857 103%
Highmark Blue Shield $257 - $815 105%
Geisinger $260 - $1,108 107%
Aetna $265 - $1,398 109%
Jefferson Health Partners $265 - $504 109%
Devoted Health $267 110%
Humana $267 110%
Upmc $267 - $1,228 110%
Gateway $270 111%
Emblem $272 - $1,125 112%
Pa Health & Wellness (Allwell) $277 114%
Amerihealth Caritas $296 - $596 121%
Highmark Wholecare/Gateway $342 - $421 140%
Pa Health & Wellness $363 - $447 149%
Keystone First $390 - $481 160%
Ambetter / Centene $765 314%
Valley Preferred $1,470 603%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 South Cedar Crest Boulevard, Allentown, PA 18103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals