CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Fairview Park Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,103
Cash Discount Price: $12,679
vs. Medicare Baseline: 8.63x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Fairview Park Hospital is $2,103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,679. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.63x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.

Cash / Self-Pay

$12,679

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,103

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: $12,679 (5201%)

Insurance Median: $2,103 (863%)

Cash: $12,679 (5201% of Medicare)

Ins. Median: $2,103 (863% 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 863% of the Medicare baseline (a markup of 763%). 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	$85 - $348	35%
Health One Alliance	$233	96%
Ambetter / Centene	$285	117%
Aetna	$298 - $8,802	122%
Core Resources	$327	134%
United	$518 - $7,185	212%
Prime Health	$608	249%
Employer'S Health Network	$621	255%
Rockport United Network	$621	255%
Identity Mco	$633	260%
Synergy Health Network	$633	260%
Amerigroup	$1,258 - $2,139	516%
Nhc Advantage	$1,784 - $3,034	732%
Pruitt Health	$1,784 - $3,034	732%
Peach State	$1,878 - $3,193	770%
Wellcare	$1,878 - $3,193	770%
Memorial Health Plan	$2,066 - $3,513	848%
Americas 1St Choice	$2,629 - $4,470	1078%
Leavitt Risk Partners	$2,817 - $4,790	1156%
Dodge County Hospital	$4,696 - $7,983	1926%
American Steel Products	$7,982 - $13,571	3274%
City Of Eastman	$7,982 - $13,571	3274%
Dodge Co Board Of Commissioners	$7,982 - $13,571	3274%
Graham Brothers Construction	$7,982 - $13,571	3274%
Multiplan	$8,452 - $14,369	3467%
Novanet	$8,452 - $14,369	3467%

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 $12,679.
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 Fairview Park Hospital 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.