CMS Price Transparency Data

MRI, knee or other leg joint

Facility: University of Alabama Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $3,609
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 14.80x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at University of Alabama Hospital is $3,609. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.80x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,609

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%)
Insurance Median: $3,609 (1480%)
Ins. Median: $3,609 (1480% 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 1480% of the Medicare baseline (a markup of 1380%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Viva $300 123%
UnitedHealthcare $460 - $3,000 189%
Cigna $629 - $3,696 258%
University Of Alabama $1,838 - $2,758 754%
Aetna $2,243 - $3,365 920%
Coventry $2,390 - $4,454 980%
North Alabama Managed Care $2,390 - $3,585 980%
Comp One $2,647 - $3,972 1086%
Construction Claims Management $2,750 - $4,126 1128%
Alamed $2,758 - $4,137 1131%
Corvel $2,942 - $4,413 1207%
Evolutions $2,942 - $4,964 1207%
Healthcare Alliance $2,942 - $4,413 1207%
Novanet $2,942 - $4,964 1207%
Prime Health Services $2,942 - $4,964 1207%
Select Value Care $2,942 - $4,413 1207%
Starcare $2,942 - $4,413 1207%
Tethys $2,942 - $4,413 1207%
Multiplan $3,015 - $4,523 1237%
Department Of Labor $3,125 - $4,689 1282%
Geha $3,125 - $4,689 1282%
Gulf Health Plans $3,125 - $4,689 1282%
Heritage Summit Health $3,125 - $4,689 1282%
Humana $3,125 - $4,689 1282%
Mississippi Physicians $3,125 - $4,689 1282%
Phifer $3,125 - $4,689 1282%
Preferred Health Partnership $3,125 - $4,689 1282%
Southern Nuclear $3,125 - $4,689 1282%
Vantage Health Plan $3,125 - $4,689 1282%
Galaxy Health Network $3,309 - $4,964 1357%
National Provider Network $3,309 - $4,964 1357%
North Mississippi Health Link $3,309 - $4,964 1357%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals