CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Crestwood Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $613
  • Cash Discount Price: $3,319
  • vs. Medicare Baseline: 2.51x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Crestwood Medical Center is $613. 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 2.51x the Medicare baseline. Located in One Hospital Dr Se, Huntsville, AL.
Cash / Self-Pay
$3,319

Average discount available for prompt cash payment at this facility.

Insurance Median
$613

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: $613 (251%)
Cash: $3,319 (1362% of Medicare)
Ins. Median: $613 (251% 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 251% of the Medicare baseline (a markup of 151%). 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
Tricare $205 - $453 84%
Veterans Eval Services $210 - $419 86%
Blue Cross Blue Shield $213 - $568 87%
Humana $213 - $469 87%
Medicare (plans) $213 - $469 87%
Node Windsor Mcr Adv $213 - $469 87%
UnitedHealthcare $213 - $699 87%
Viva Health $213 - $469 87%
Node Select Health Mcr Adv $215 - $474 88%
Alacare Hospice $216 - $477 89%
Hospice $216 - $477 89%
Node Champva $216 - $477 89%
Node Va $216 - $477 89%
Cigna $217 - $613 89%
Node Devoted Health Mcr Adv $217 - $479 89%
Node Clover Health Mcr Adv $218 - $482 89%
Aetna $219 - $761 90%
Node Wellcare Mcr Adv $221 - $487 91%
Node Prime Health Mcr Adv $228 - $502 94%
Node Us Dept Of Labor $268 - $590 110%
Occunet $270 - $596 111%
Ambetter / Centene $324 - $716 133%
Medicaid / KanCare $375 154%
Wc Hart & Cooley $700 287%
Alamed $1,012 415%
Self Pay $2,096 - $4,891 860%
American Employee Alliance $4,658 - $9,315 1911%
Wc Acs Compiq Xerox $7,173 - $14,346 2943%
Fortified $8,070 - $18,631 3310%
Core Choice $8,151 - $17,035 3344%
Prime Health $8,151 - $17,932 3344%
Coventry $8,249 - $16,498 3384%
Rockport $8,339 - $16,677 3421%
America'S Choice $8,518 - $18,631 3494%
Novanet $8,518 - $17,466 3494%
Wc Al $8,966 - $17,932 3678%
Multiplan $9,898 - $19,795 4060%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Dr Se, Huntsville, AL 35801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals