CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Newberry County Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,484
Cash Discount Price: $2,226
vs. Medicare Baseline: 6.09x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Newberry County Memorial Hospital is $1,484. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,226. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.09x the Medicare baseline. Located in 2669 Kinard St Po Box 497, Newberry, SC.

Cash / Self-Pay

$2,226

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,484

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: $2,226 (913%)

Insurance Median: $1,484 (609%)

Cash: $2,226 (913% of Medicare)

Ins. Median: $1,484 (609% 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 609% of the Medicare baseline (a markup of 509%). 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
Cigna	$79 - $6,391	32%
Aetna	$237 - $5,429	97%
Blue Cross Blue Shield	$237 - $5,413	97%
Devoted Health	$244 - $537	100%
Humana	$244 - $5,168	100%
Medicare (plans)	$244 - $553	100%
Ambetter / Centene	$248 - $548	102%
Molina Marketplace	$248 - $548	102%
Medicaid / KanCare	$586 - $5,168	240%
Self Pay	$1,484 - $2,967	609%
UnitedHealthcare	$3,020 - $6,038	1239%
United Payers And United Providers (Up & Up)	$3,730 - $7,458	1530%

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 $2,226.
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 Newberry County Memorial Hospital 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.