CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Medical Center Enterprise

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $469
  • Cash Discount Price: $3,597
  • vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Medical Center Enterprise is $469. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,597. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.92x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$3,597

Average discount available for prompt cash payment at this facility.

Insurance Median
$469

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: $3,597 (1476%)
Insurance Median: $469 (192%)
Cash: $3,597 (1476% of Medicare)
Ins. Median: $469 (192% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Medicaid / KanCare $152 - $375 62%
Tricare $195 - $4,496 80%
Blue Cross Blue Shield $202 - $504 83%
Humana $202 - $446 83%
Medicare (plans) $202 - $446 83%
UnitedHealthcare $202 - $699 83%
Select Health $204 - $451 84%
Covenant Hospice $206 - $454 85%
Dayspring Hospice $206 - $454 85%
Healthspring $206 - $455 85%
Node Champva $206 - $4,733 85%
Node Devoted Health Mcr Adv $206 - $455 85%
Node Hospice Non Par $206 - $454 85%
Node Va $206 - $454 85%
Southerncare Hospice $206 - $454 85%
Aetna $208 - $20,981 85%
Node Clover Mcr Adv $208 - $458 85%
Node Wellcare Mcr Adv $210 - $463 86%
Veterans Eval Services $210 - $419 86%
Eon Health $212 - $469 87%
Wiregrass Hospice $218 - $482 89%
Node Us Dept Of Labor $257 - $567 105%
Al Maternity Waiver Program $284 117%
Ambetter / Centene $308 - $681 126%
Cigna $346 - $4,808 142%
Occunet $675 277%
Self Pay $1,349 - $8,992 553%
American Employee Alliance $5,994 - $11,989 2459%
Alamed $8,991 - $17,984 3688%
Affordable Health $10,490 - $20,981 4303%
Health Choice $10,490 - $20,981 4303%
Novanet Ppo $10,490 - $20,981 4303%
Coventry Work Comp Al $11,029 - $22,060 4524%
Multiplan $11,089 - $23,679 4549%
Wc Dept Ind Relations $11,988 - $23,979 4918%
Corvel $12,738 - $25,477 5225%
Galaxy Health $13,487 - $26,976 5533%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals