CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Ochsner Choctaw General

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $381
Cash Discount Price: $1,037
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Ochsner Choctaw General is $381. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,037. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.56x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$1,037

Average discount available for prompt cash payment at this facility.

Insurance Median

$381

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: $1,037 (425%)

Insurance Median: $381 (156%)

Cash: $1,037 (425% of Medicare)

Ins. Median: $381 (156% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Humana	$48 - $723	20%
Prime Health Services Ppo	$68 - $1,285	28%
UnitedHealthcare	$79 - $883	32%
Cigna	$105 - $799	43%
Blue Cross Blue Shield	$110 - $784	45%
Primewell Health Services Commercial Exchange Plan	$112 - $1,076	46%
Primewell Health Services – Commercial	$112 - $1,076	46%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$161 - $723	66%
Medicare (plans)	$161 - $831	66%
Aetna	$164 - $1,044	67%
Claritev D/B/A Multiplan/Phcs/American Life Care	$167 - $1,204	69%
Shared Health Mississippi	$169 - $759	69%
Medicaid / KanCare	$179 - $191	73%
Zelis	$189 - $1,354	78%
Select Administrative Services Network	$196 - $1,124	80%
Prime Health Services Ppo -Workers Comp	$379 - $1,282	155%
Cor Vel	$383 - $1,309	157%
Ambetter / Centene	$510 - $730	209%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,037.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Choctaw General is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73721.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.