CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Saint Joseph Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$660

about 2.7× the $244 Medicare rate · typically $302–$960

modeled estimate · not a bill or quote

What this hospital charges insurers

$590

Below the fair price — a good deal

about $70 under the fair price · 2.4× Medicare

Medicare pays $244 Fair price $660 This hospital $590 Cash price $1,019 Hospital's list price $2,164

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $128 Priciest $590

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

A fair price for a MRI, knee or other leg joint is about $660 (about 2.7× the $244 Medicare rate). Saint Joseph Hospital charges insurers about $590, or about $1,019 in cash — below the fair price — a good deal. Located in Lexington, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor	$247 - $1,774	101%
Blue Cross Blue Shieldmajor	$237 - $614	97%
Aetnamajor	$245 - $1,363	101%
Cignamajor	$1,363	559%
Humanamajor	$237 - $573	97%
CareSource	$475	195%
Molina	$249 - $508	102%
WellCare	$237 - $602	97%

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 1,019), 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 Saint Joseph Hospital 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 Saint Joseph Hospital

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

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