CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Penn State Health Hampden Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $266
Cash Discount Price: $380
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Penn State Health Hampden Medical Center is $266. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $380. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.09x the Medicare baseline. Located in 2200 Good Hope Road, Enola, PA.

Cash / Self-Pay

$380

Average discount available for prompt cash payment at this facility.

Insurance Median

$266

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: $380 (156%)

Insurance Median: $266 (109%)

Cash: $380 (156% of Medicare)

Ins. Median: $266 (109% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
[Amerihealth Caritas]	$198 - $233	81%
[Highmark Wholecare]	$198 - $233	81%
[Geisinger]	$210 - $807	86%
[Health Partners Plans]	$217 - $238	89%
[Pa Health & Wellness]	$218 - $240	89%
[Highmark]	$231 - $997	95%
UnitedHealthcare	$233 - $603	96%
[Cbc]	$233 - $604	96%
Aetna	$236 - $635	97%
Humana	$236	97%
[Healthspring]	$236	97%
[Upmc]	$238 - $893	98%
[Point Comfort Underwriters]	$292	120%
Cigna	$741	304%
[Highmark Choice Blue]	$797	327%
[Highmark Aca]	$837	343%
[Preferred Healthcare Systems]	$907	372%
[First Health]	$967	397%
[Multiplan]	$967	397%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $380.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Penn State Health Hampden Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73721.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.