CMS Price Transparency Data

MRI, knee or other leg joint

Facility: USA Health University Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $1,188
  • Cash Discount Price: $3,319
  • vs. Medicare Baseline: 4.87x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at USA Health University Hospital is $1,188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,319. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.87x the Medicare baseline. Located in 2451 Fillingim Street, Mobile, AL.
Cash / Self-Pay
$3,319

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,188

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: $3,319 (1362%)
Insurance Median: $1,188 (487%)
Cash: $3,319 (1362% of Medicare)
Ins. Median: $1,188 (487% 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 487% of the Medicare baseline (a markup of 387%). 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.

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
Central Healthcare Services $100 - $1,696 41%
Magnolia Health $182 75%
Truecare $182 75%
UnitedHealthcare $182 - $1,792 75%
Blue Cross Blue Shield $200 82%
Molina Chip $200 82%
Aetna $204 - $1,825 84%
Cigna $204 - $1,580 84%
Devoted Health $204 - $2,375 84%
Humana $204 - $2,205 84%
Viva Health $204 - $1,696 84%
Wellcare $204 84%
Molina Marketplace $225 92%
Ambetter / Centene $245 101%
Mississippi Physicians Care Network (Mpcn) $276 113%
Multiplan $1,103 - $3,054 452%
Naphcare $1,188 - $2,375 487%
Novanet $1,527 - $3,054 626%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2451 Fillingim Street, Mobile, AL 36617
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals