CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Atrium Health Floyd Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,490
Cash Discount Price: $4,384
vs. Medicare Baseline: 6.11x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Atrium Health Floyd Medical Center is $1,490. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,384. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.11x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$4,384

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,490

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: $4,384 (1798%)

Insurance Median: $1,490 (611%)

Cash: $4,384 (1798% of Medicare)

Ins. Median: $1,490 (611% 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 611% of the Medicare baseline (a markup of 511%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$236 - $6,549	97%
Caresource	$236 - $1,497	97%
Cigna	$236 - $5,261	97%
Georgia Assurance	$236	97%
Humana	$236 - $3,946	97%
UnitedHealthcare	$236 - $900	97%
Aetna	$238 - $5,962	98%
Wellcare	$240	98%
Clover	$243	100%
Alliant Health Plans	$353 - $1,120	145%
Ambetter / Centene	$353	145%
Occunet	$471	193%
Amerigroup	$1,483	608%
Peach State Health Plan	$1,497	614%
Oscar Health Plan	$1,710 - $3,069	701%
Awc Networks	$1,711	702%
Beacon	$4,384	1798%
Evernorth	$4,384	1798%
Multiplan	$6,138	2518%
Beech Street	$6,839	2806%
Private Health Care Systems	$7,453	3057%

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 $4,384.
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 Atrium Health Floyd Medical Center 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.