CMS Price Transparency Data

MRI, knee or other leg joint

Facility: University of Louisville Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,914
Cash Discount Price: $920
vs. Medicare Baseline: 7.85x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at University of Louisville Hospital is $1,914. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $920. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.85x the Medicare baseline. Located in 530 South Jackson Street, Louisville, KY.

Cash / Self-Pay

$920

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,914

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: $920 (377%)

Insurance Median: $1,914 (785%)

Cash: $920 (377% of Medicare)

Ins. Median: $1,914 (785% 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 785% of the Medicare baseline (a markup of 685%). 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
Blue Cross Blue Shield	$134 - $3,838	55%
Humana	$204 - $646	84%
Senior Care Community Of Ky	$215	88%
Cigna	$227	93%
Essence Health	$227	93%
Va Ccn	$227	93%
Signature	$233 - $1,919	96%
Communicare	$238	98%
Devoted	$238 - $1,151	98%
Passport	$238 - $1,919	98%
Wellcare	$263 - $300	108%
Velocity	$268 - $3,761	110%
Key Benefit Administrators	$295	121%
Aetna	$645 - $646	265%
UnitedHealthcare	$645 - $1,831	265%
Prime Group Health	$1,057 - $3,262	434%
Cshn	$2,488 - $3,838	1021%
Multiplan	$2,526 - $3,454	1036%
Encore	$2,680 - $2,687	1099%
Health Smart	$2,871 - $2,878	1178%
Omca	$3,637 - $3,646	1492%
Corvel	$3,828 - $3,838	1570%
National Comp Care	$3,828 - $3,838	1570%

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 $920.
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 University of Louisville 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.