CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Piedmont Walton Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$579
about 2.4× the $244 Medicare rate · typically $294–$911
modeled estimate · not a bill or quote
What this hospital charges insurers
$584
About the fair price
about $5 over the fair price · 2.4× Medicare
Medicare pays $244 Fair price $579 This hospital $584 Cash price $1,516 Hospital's list price $5,052

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $159 Priciest $584

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a MRI, knee or other leg joint is about $579 (about 2.4× the $244 Medicare rate). Piedmont Walton Hospital charges insurers about $584, or about $1,516 in cash — about the fair price. Located in Monroe, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Kaiser Permanente Blue Cross Blue ShieldHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $584 240%
Aetnamajor $2,816 1155%
Cignamajor $683 - $955 280%
Kaiser Permanentemajor $4,294 1761%
+ 3 smaller / regional plans $1,248 - $4,547
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2151 W Spring Street, Monroe, GA 30655
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals