CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Jeff Davis Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,109
Cash Discount Price: $918
vs. Medicare Baseline: 4.55x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Jeff Davis Hospital is $1,109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $918. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.55x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$918

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,109

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: $918 (377%)

Insurance Median: $1,109 (455%)

Cash: $918 (377% of Medicare)

Ins. Median: $1,109 (455% 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 455% of the Medicare baseline (a markup of 355%). 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
Medicaid / KanCare	$254 - $2,112	104%
Humana	$260 - $3,350	107%
Peach_State	$260 - $784	107%
Wellcare	$260 - $784	107%
Pen_Network	$293	120%
Medicare (plans)	$405 - $1,234	166%
Blue Cross Blue Shield	$413 - $2,956	169%
Care_Improvement_Plus	$413 - $1,246	169%
Coventry_Hmo	$914 - $2,759	375%
Coventry_Pos	$914 - $2,759	375%
Uhc_Hmo	$979 - $2,956	402%
Uhc_Indemnity	$979 - $2,956	402%
Uhc_Ppo	$979 - $2,956	402%
Coventry_Ppo	$1,005 - $3,035	412%
Beech_Street	$1,044 - $3,153	428%
Care_Source	$1,044 - $3,153	428%
Cigna	$1,044 - $3,153	428%
One_Health_Ppo	$1,044 - $3,153	428%
Choicecare	$1,109 - $3,350	455%
Community_Care_Network	$1,109 - $3,350	455%
Georgia_Hospital_Network	$1,109 - $3,350	455%
Industry_Buying_Group	$1,109 - $3,350	455%
Novanet	$1,109 - $3,350	455%
Principal_Health_Care_Of_Georgia	$1,109 - $3,350	455%
Three_Rivers_Provider_Network	$1,109 - $3,350	455%
Usa_Managed_Care	$1,109 - $3,350	455%
Memorial_Health_Partners	$1,174 - $3,547	482%
Tricare	$1,214 - $3,665	498%
Multiplan	$1,240 - $3,744	509%

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 $918.
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 Jeff Davis 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.