CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mt Ascutney Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $4,873
Cash Discount Price: $4,759
vs. Medicare Baseline: 19.99x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mt Ascutney Hospital is $4,873. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,759. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 19.99x the Medicare baseline. Located in 289 County Road, Windsor, VT.

Cash / Self-Pay

$4,759

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,873

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: $4,759 (1952%)

Insurance Median: $4,873 (1999%)

Cash: $4,759 (1952% of Medicare)

Ins. Median: $4,873 (1999% 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 1999% of the Medicare baseline (a markup of 1899%). 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
Blue Cross Blue Shield	$3,627 - $6,129	1488%
The Vermont Health Plan	$3,632 - $4,992	1490%
Mvp Health Plan, Inc.	$4,559 - $6,266	1870%
Cigna	$4,659 - $6,404	1911%
Hphc Insurance Company, Inc.	$4,659 - $6,404	1911%
Aetna	$4,760 - $6,542	1953%
UnitedHealthcare	$4,760 - $6,542	1953%

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 $4,759.
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 Mt Ascutney 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.