CMS Price Transparency Data

MRI, knee or other leg joint

Facility: T J Samson Community Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $320
Cash Discount Price: $813
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at T J Samson Community Hospital is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $813. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.31x the Medicare baseline. Located in 1301 North Race Street, Glasgow, KY.

Cash / Self-Pay

$813

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: $813 (334%)

Insurance Median: $320 (131%)

Cash: $813 (334% 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	$61 - $3,706	25%
Center Care Select - All Plans	$61 - $3,706	25%
Signature Health - All Plans	$61 - $245	25%
Wellcare Mcr Adv - All Other Plans	$61 - $243	25%
Molina Mcr Adv	$62 - $247	25%
Devoted Mcr Adv - All Plans	$64 - $255	26%
Humana	$64 - $345	26%
Caresource - All Plans	$79 - $364	32%
Molina Marketplace - All Other Plans	$79 - $364	32%
Aetna	$160 - $345	66%
Wellcare Mcaid	$160 - $320	66%
Molina Mcaid	$165 - $355	68%
UnitedHealthcare	$1,140	468%
Phcs/Multiplan - All Plans	$2,049 - $4,098	841%
First Health - All Plans	$2,071 - $4,142	850%

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 $813.
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 T J Samson Community 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.