CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Excela Health Latrobe Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $288
  • Cash Discount Price: $1,121
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Excela Health Latrobe Hospital is $288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,121. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.18x the Medicare baseline. Located in One Mellon Way, Latrobe, PA.
Cash / Self-Pay
$1,121

Average discount available for prompt cash payment at this facility.

Insurance Median
$288

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: $1,121 (460%)
Insurance Median: $288 (118%)
Cash: $1,121 (460% of Medicare)
Ins. Median: $288 (118% 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
Highmark Advantage Community Blue $227 93%
Senior Life $244 100%
Va $244 100%
Aetna $251 - $561 103%
Health Partners Plan $251 103%
Martin'S Point $251 103%
Peak Health $251 - $573 103%
The Health Plan Of West Virginia $251 - $573 103%
Humana $254 104%
United $254 104%
Amerihealth Caritas $256 - $431 105%
Cigna $256 - $538 105%
Devoted $256 105%
Geisinger $256 - $398 105%
Pa Health And Wellness $261 - $431 107%
Upmc $263 - $421 108%
Highmark Wholecare $266 - $408 109%
American Health Plan Of Pa $268 110%
Provider Network Of America $268 - $1,494 110%
Provider Plan Partners Plan $268 110%
Upmc Health Plan $283 - $1,320 116%
Highmark Children'S Health Insurance Program $293 120%
Upmc For Kids Chip $300 123%
Ambetter / Centene $305 125%
Highmark $330 - $538 135%
Velocity $366 150%
Health Partners Plans $398 163%
Community Blue $484 199%
UnitedHealthcare $621 255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Mellon Way, Latrobe, PA 15650
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals