CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Hospital Pavia Arecibo

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$207

about 0.8× the $244 Medicare rate · typically $116–$288

modeled estimate · not a bill or quote

What this hospital charges insurers

$247

Above the fair price

about $40 over the fair price · 1.0× Medicare

Medicare pays $244 Fair price $207 This hospital $247 Cash price $532 Hospital's list price $532

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

A typical price — 4 charge more and 4 charge less, among the 9 PR hospitals compared.

Cheapest $67 Priciest $307

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

A fair price for a MRI, knee or other leg joint is about $207 (about 0.8× the $244 Medicare rate). Hospital Pavia Arecibo charges insurers about $247, or about $532 in cash — above the fair price. Located in Arecibo, PR.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $207. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ Cigna✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaKaiser 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
Cignamajor	$247	101%
Humanamajor	$168 - $406	69%
+ 15 smaller / regional plans	$83 - $650

Government programs also on file: Medicare, Military & VA.

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 532), 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 Hospital Pavia Arecibo 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 Hospital Pavia Arecibo

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

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