CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mon Health Medical Center

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$226

about 0.9× the $244 Medicare rate · typically $186–$307

modeled estimate · not a bill or quote

What this hospital charges insurers

$236

About the fair price

about $10 over the fair price · 1.0× Medicare

Medicare pays $244 Fair price $226 This hospital $236 Cash price $915 Hospital's list price $1,830

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

Highest price of the 9 WV hospitals we have prices for — worth calling around.

Cheapest $49 Priciest $236

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $226 (about 0.9× the $244 Medicare rate). Mon Health Medical Center charges insurers about $236, or about $915 in cash — about the fair price. Located in Morgantown, WV.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor	$231 - $1,647	95%
Blue Cross Blue Shieldmajor	$231 - $1,138	95%
Aetnamajor	$231 - $348	95%
Cignamajor	$1,647	676%
Humanamajor	$231 - $1,647	95%
GEHA	$1,775	728%
Paramount	$231	95%
UPMC Health Plan	$1,775	728%
+ 12 smaller / regional plans	$231 - $1,738

Government programs also on file: Medicare.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 915), 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 Mon Health Medical Center 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 Mon Health Medical Center

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

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