CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Physicians Care Surgical Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $448
  • Cash Discount Price: $332
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Physicians Care Surgical Hospital is $448. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $332. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.84x the Medicare baseline. Located in 454 Enterprise Drive, Royersford, PA.
Cash / Self-Pay
$332

Average discount available for prompt cash payment at this facility.

Insurance Median
$448

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: $332 (136%)
Insurance Median: $448 (184%)
Cash: $332 (136% of Medicare)
Ins. Median: $448 (184% 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
Connecticare $254 104%
Aarp $415 170%
Aetna $415 - $1,267 170%
Blue Cross Blue Shield $415 - $448 170%
Cigna $415 170%
Devon Health Services $415 170%
Gpm Health And Life Insurance Mc Supplement $415 170%
Humana $415 170%
Ibc Security 65 $415 170%
Keystone 65 Hmo $415 170%
Medicare (plans) $415 170%
Pcsh Aarp $415 170%
Personal Choice 65 $415 170%
Shenandoah Life $415 170%
Tricare $415 170%
Unified Health Services $415 170%
UnitedHealthcare $415 - $880 170%
Vibra Health Plan $415 170%
Highmark $432 177%
Amerihealth Administrators $448 184%
Amerihealth New Jersey Hmo $448 184%
Carefirst Administrators $448 184%
Empire Plan $448 184%
Horizon Of New Jersey $448 184%
Ibc $448 184%
Ibc - Local $448 184%
Ibc 2021 $448 184%
Ibc Local $448 184%
Independence Administrators $448 184%
Independence Bc $448 184%
Independence Federal $448 184%
Keystone Direct Pos $448 184%
Keystone Healthplan East $448 184%
Keystone Hmo $448 184%
Pcsh Ibc $448 184%
Personal Choice $448 184%
Regence Blue Shield $448 184%
Allsavers $880 361%
Golden Rule Op $880 361%
Oxford Health Plan $880 361%
Oxford Life Insurance Company $880 361%
Surest $880 361%
Ag Administrators $1,267 520%
Ag Administrators Inc $1,267 520%
Allied Benefit Systems $1,267 520%
Allied Benefits Systems $1,267 520%
Continental Benefits $1,267 520%
Coventry $1,267 520%
Geha $1,267 520%
Healthez $1,267 520%
Lucent Health $1,267 520%
Marpai Health $1,267 520%
Meritain Health $1,267 520%
Premier Care Network $1,267 520%
Trustmark $1,267 520%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 Enterprise Drive, Royersford, PA 19468
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals