CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Jefferson Healthcare

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $854
Cash Discount Price: $1,149
vs. Medicare Baseline: 3.50x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Jefferson Healthcare is $854. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,149. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.50x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$1,149

Average discount available for prompt cash payment at this facility.

Insurance Median

$854

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: $1,149 (471%)

Insurance Median: $854 (350%)

Cash: $1,149 (471% of Medicare)

Ins. Median: $854 (350% 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 350% of the Medicare baseline (a markup of 250%). 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
Tricare	$64 - $936	26%
Chpw Mcr Adv	$69 - $1,011	28%
Aetna	$73 - $2,407	30%
Medicare (plans)	$73 - $955	30%
Molina Mcr Adv	$73 - $936	30%
Molina Marketplace-All Other Plans	$80 - $1,170	33%
Chpw Commercial-All Other Plans	$96 - $2,273	39%
Coord Care Comm/Exchge-All Other Plans	$102 - $2,407	42%
Chpw Mcaid	$128 - $835	53%
Molina Mcaid	$128 - $854	53%
Amerigroup Mcaid-All Plans	$131 - $878	54%
Regence-All Other Plans	$149 - $2,006	61%
Premera-All Plans	$169 - $2,273	69%
Cigna	$179 - $2,407	73%
Coord Care Mcaid Ip/Op Only	$895	367%
UnitedHealthcare	$1,497	614%
Coord Care Cascade Ip/Op Only	$2,407	987%

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 $1,149.
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 Jefferson Healthcare 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.