CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Punxsutawney Area Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$246

about 1.0× the $244 Medicare rate · typically $216–$395

modeled estimate · not a bill or quote

What this hospital charges insurers

$246

About the fair price

1.0× Medicare

Medicare pays $244 Fair price $246 This hospital $246 Cash price $358 Hospital's list price $976

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $189 Priciest $246

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a MRI, knee or other leg joint is about $246 (about 1.0× the $244 Medicare rate). Punxsutawney Area Hospital charges insurers about $246, or about $358 in cash — about the fair price. Located in Punxsutawney, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$42 - $796	17%
Blue Cross Blue Shieldmajor	$37 - $3,589	15%
Aetnamajor	$60 - $692	25%
Cignamajor	$62 - $988	25%
Humanamajor	$245	101%
Ambetter (Centene)	$65 - $363	27%
AmeriHealth	$60 - $296	25%
Geisinger	$62 - $697	25%
UPMC Health Plan	$61 - $1,482	25%
+ 1 smaller / regional plan	$77 - $498

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 358), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Punxsutawney Area Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Punxsutawney Area Hospital

Compare: MRI, knee or other leg joint at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.