CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Rehabilitation Hospital of Rhode Island

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,150
Cash Discount Price: $2,150
vs. Medicare Baseline: 8.82x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Rehabilitation Hospital of Rhode Island is $2,150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,150. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.82x the Medicare baseline. Located in 116 Eddie Dowling Hwy, North Smithfield, RI.

Cash / Self-Pay

$2,150

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,150

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: $2,150 (882%)

Insurance Median: $2,150 (882%)

Cash: $2,150 (882% of Medicare)

Ins. Median: $2,150 (882% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 882% of the Medicare baseline (a markup of 782%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$2,150	882%
Ambetter / Centene	$2,150	882%
Blue Cross Blue Shield	$2,150	882%
Cigna	$2,150	882%
Essence	$2,150	882%
Healthlink Hmo	$2,150	882%
Healthlink Ppo	$2,150	882%
Healthy Blue (Missouri Care)	$2,150	882%
Homestate Health Plan	$2,150	882%
Humana	$2,150	882%
Medica	$2,150	882%
Medicaid / KanCare	$2,150	882%
Meritain Health Cpd	$2,150	882%
Meritain Health Ppo Cpd	$2,150	882%
Starmark Cpd	$2,150	882%
Tricare	$2,150	882%
UnitedHealthcare	$2,150	882%
Wellcare	$2,150	882%

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 $2,150.
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 Rehabilitation Hospital of Rhode Island 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.