CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Southern Regional Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $245
  • Cash Discount Price: $238
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Southern Regional Medical Center is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.01x the Medicare baseline. Located in 11 Upper Riverdale Road, Sw, Riverdale, GA.
Cash / Self-Pay
$238

Average discount available for prompt cash payment at this facility.

Insurance Median
$245

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: $238 (98%)
Insurance Median: $245 (101%)
Cash: $238 (98% of Medicare)
Ins. Median: $245 (101% 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.

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 $226 - $409 93%
Aetna $238 - $3,493 98%
Americas Choice Provider Network $238 98%
Blue Cross Blue Shield $238 - $251 98%
Cigna $238 - $497 98%
Clear Spring Health Plan $238 98%
Corvel $238 98%
Georgia Workers’ Compensation $238 98%
Medicare (plans) $238 98%
Multiplan $238 98%
Novanet $238 98%
Prime Health Services $238 98%
Provider Select $238 98%
Riverwood Behavioral Health $238 - $298 98%
Three Rivers $238 98%
Tricare $238 98%
UnitedHealthcare $238 98%
Caresource $245 - $417 101%
Devoted Health $245 101%
Peach State $245 - $286 101%
Sonder Health Plan $250 103%
Wellcare $250 103%
Oscar Health Plan $310 127%
Employer Direct Healthcare $333 137%
Centurion $357 146%
Naphcare $369 151%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11 Upper Riverdale Road, Sw, Riverdale, GA 30274
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals