CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Northeast Georgia Medical Center Lumpkin

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$380

about 1.6× the $244 Medicare rate · typically $259–$866

modeled estimate · not a bill or quote

What this hospital charges insurers

$257

Below the fair price — a good deal

about $123 under the fair price · 1.1× Medicare

Medicare pays $244 Fair price $380 This hospital $257 Cash price $903 Hospital's list price $1,963

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 $257

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $380 (about 1.6× the $244 Medicare rate). Northeast Georgia Medical Center Lumpkin charges insurers about $257, or about $903 in cash — below the fair price — a good deal. Located in Dahlonega, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser Permanente

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
Blue Cross Blue Shieldmajor	$248 - $788	102%
Aetnamajor	$253	104%
Cignamajor	$255	105%
Humanamajor	$260	107%

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 903), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Northeast Georgia Medical Center Lumpkin is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Northeast Georgia Medical Center Lumpkin

Compare: MRI, knee or other leg joint at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.