CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Hospital of the Fox Chase Cancer Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $863
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.54x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Hospital of the Fox Chase Cancer Center is $863. 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 3.54x the Medicare baseline. Located in 333 Cottman Avenue, Philadelphia, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$863

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: $863 (354%)
Ins. Median: $863 (354% 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 354% of the Medicare baseline (a markup of 254%). 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.

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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 - $250 76%
Blue Cross Blue Shield $245 - $5,260 101%
Humana $245 101%
Clover Health $260 107%
Pennsylvania Health And Wellness $270 - $1,996 111%
Elder Health $294 121%
Cigna $297 122%
Innovage $297 122%
Keystone First $299 - $1,804 123%
Upmc Health Plan $302 - $5,220 124%
Aetna $309 - $1,591 127%
Wtc Health Program $327 134%
Oscar Health $368 151%
Prime Health Services $390 160%
UnitedHealthcare $3,341 - $12,132 1371%
Qualcare $12,946 5311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 333 Cottman Avenue, Philadelphia, PA 19111
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL