CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Shepherd Center, Inc.

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $320
Cash Discount Price: $1,904
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Shepherd Center, Inc. is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,904. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.31x the Medicare baseline. Located in 2020 Peachtree Rd Nw, Atlanta, GA.

Cash / Self-Pay

$1,904

Average discount available for prompt cash payment at this facility.

Insurance Median

$320

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: $1,904 (781%)

Insurance Median: $320 (131%)

Cash: $1,904 (781% of Medicare)

Ins. Median: $320 (131% 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.

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	$50 - $600	21%
Medicare (plans)	$65 - $231	27%
Humana	$70 - $258	29%
Kaiser	$75 - $246	31%
Aetna	$98 - $3,237	40%
Coventry	$98 - $2,475	40%
UnitedHealthcare	$233 - $613	96%
Cigna	$430	176%
Paradigm Wc	$1,866	765%
Secure Health	$2,285	937%
Coventry Wc	$2,475	1015%
Alamed Wc	$2,666	1094%
Fcci Wc	$2,666	1094%
Multiplan	$2,856	1172%
Evolution Wc	$3,046	1250%
Prime Health Wc	$3,046 - $3,427	1250%
Corvel Wc	$3,237	1328%
Novanet Wc	$3,237	1328%

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 $1,904.
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 Shepherd Center, Inc. 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.