CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Ochsner LSU Health Monroe

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $471
Cash Discount Price: $474
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Ochsner LSU Health Monroe is $471. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $474. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.93x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.

Cash / Self-Pay

$474

Average discount available for prompt cash payment at this facility.

Insurance Median

$471

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: $474 (194%)

Insurance Median: $471 (193%)

Cash: $474 (194% of Medicare)

Ins. Median: $471 (193% 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
Humana	$212 - $660	87%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp)	$220 - $330	90%
Aetna	$220 - $1,668	90%
Blue Cross Blue Shield	$220 - $1,095	90%
Medicare (plans)	$220 - $330	90%
UnitedHealthcare	$220 - $1,846	90%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$236 - $660	97%
Healthy Blue (Formerly Amerigroup Louisiana Inc.)	$236 - $660	97%
Louisiana Healthcare Connections (Healthy Louisiana)	$236 - $660	97%
Vantage Health Plan - Commercial	$242 - $363	99%
Zelis	$387 - $580	159%
Healthcomp Ppo (Formerly Gilsbar 360	$549 - $824	225%
Verity Health Network – Lsu First Choice	$619 - $1,733	254%
Cigna	$962 - $1,443	395%
Multiplan/Phcs/American Lifecare	$1,031 - $2,888	423%
Usa Managed Care Network	$1,105 - $3,094	453%
First Health Network	$1,112 - $1,668	456%

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 $474.
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 Ochsner LSU Health Monroe 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.