CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Perry County Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,593
Cash Discount Price: $3,025
vs. Medicare Baseline: 10.64x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Perry County Memorial Hospital is $2,593. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,025. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.64x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$3,025

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,593

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: $3,025 (1241%)

Insurance Median: $2,593 (1064%)

Cash: $3,025 (1241% of Medicare)

Ins. Median: $2,593 (1064% 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 1064% of the Medicare baseline (a markup of 964%). 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	$505 - $5,186	207%
Veterans Administration	$864 - $5,186	354%
Bc 130	$899 - $4,144	369%
Group Insurance	$899 - $5,186	369%
Medicare (plans)	$899 - $1,348	369%
Workers Compensation	$1,728 - $2,593	709%
Nsa	$2,031 - $3,201	833%
Guarantor Liable	$2,419 - $5,186	992%
Pcmh Insurnace	$2,696 - $5,186	1106%
Secondary Insurance	$2,761 - $4,144	1133%
UnitedHealthcare	$2,761 - $4,144	1133%
Operating Engineers	$2,938 - $4,408	1205%
Boilermakers Healthcare	$3,007 - $4,512	1234%
Cigna	$3,007 - $4,512	1234%
Great West	$3,007 - $5,186	1234%
Sagxxxx	$3,007 - $4,512	1234%
Champus	$3,456 - $5,186	1418%
Ngs American, Inc	$3,456 - $5,186	1418%
Patoka Valley	$3,456 - $5,186	1418%
Southwire	$3,456 - $5,186	1418%
Tricare	$3,456 - $5,186	1418%
Wausau Benefits	$3,456 - $5,186	1418%

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 $3,025.
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 Perry County Memorial 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.