CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Northern Louisiana Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $5,117
  • Cash Discount Price: $4,112
  • vs. Medicare Baseline: 20.99x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Northern Louisiana Medical Center is $5,117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,112. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 20.99x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$4,112

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,117

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: $4,112 (1687%)
Insurance Median: $5,117 (2099%)
Cash: $4,112 (1687% of Medicare)
Ins. Median: $5,117 (2099% 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 2099% of the Medicare baseline (a markup of 1999%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
UnitedHealthcare $383 - $5,911 157%
Blue Cross Blue Shield $469 - $1,406 192%
First Health $523 - $8,360 215%
Aetna $732 - $5,901 300%
Medicaid / KanCare $732 - $9,836 300%
Humana $805 - $1,547 330%
Golden Rule Ins $1,914 - $5,911 785%
Verity Healthnet $2,507 - $4,819 1028%
Cigna $2,558 - $4,918 1049%
Kaiser Permanente $2,558 - $4,918 1049%
Gilsbar $2,814 - $5,410 1154%
Self Pay $2,814 - $5,410 1154%
Geha $4,093 - $9,344 1679%
Multiplan $4,349 - $8,360 1784%
Phcs $4,349 - $8,360 1784%
Work Comp City Of Ruston $4,605 - $8,852 1889%
Work Comp First Health $4,605 - $8,852 1889%
Work Comp Nlmc Emp $4,605 - $8,852 1889%
Workers Compensation $4,605 - $8,852 1889%
Aarp $5,116 - $9,836 2099%
Aflc American Family Life $5,116 - $9,836 2099%
American Life Accident $5,116 - $9,836 2099%
Apwu Health Plan $5,116 - $9,836 2099%
Bankers Life And Casualty $5,116 - $9,836 2099%
Benefit Trust Life $5,116 - $9,836 2099%
Crime Victims Compensatio $5,116 - $9,836 2099%
Equitable $5,116 - $9,836 2099%
Fox Everett Inc $5,116 - $9,836 2099%
Gmp Employers Retiree Tru $5,116 - $9,836 2099%
Gsu Athletics $5,116 - $9,836 2099%
Guarantee Trust Life Ins $5,116 - $9,836 2099%
Healthfirst Tpa $5,116 - $9,836 2099%
Hospice Of Caring Hearts $5,116 - $9,836 2099%
Ima Insurance $5,116 - $9,836 2099%
Industrial Accounts $5,116 - $9,836 2099%
Liberty Healthshare $5,116 - $9,836 2099%
Liberty Mutual Group $5,116 - $9,836 2099%
Lifecare Specialty Hosp $5,116 - $9,836 2099%
Lin Parish Detention $5,116 - $9,836 2099%
Lincoln Kidney Center $5,116 - $9,836 2099%
Ltu Athletics $5,116 - $9,836 2099%
Ltu Student Ins Bollinger $5,116 - $9,836 2099%
Mcr American Hlth Adv $5,116 - $9,836 2099%
Misc Commercial $5,116 - $9,836 2099%
Mva Insurance Payors $5,116 - $9,836 2099%
Nalc Health Benefit Plan $5,116 - $9,836 2099%
Nalc Natl Assoc Ltr Carri $5,116 - $9,836 2099%
Newera $5,116 - $9,836 2099%
Nlmc Community Services $5,116 - $9,836 2099%
Physicians Mutual Ins $5,116 - $9,836 2099%
Premier Hospice $5,116 - $9,836 2099%
Principal Mutual Life Ins $5,116 - $9,836 2099%
Protective Life Ins $5,116 - $9,836 2099%
Ruston Regional Specialty $5,116 - $9,836 2099%
Specialty Hosp Of Winnfie $5,116 - $9,836 2099%
State Farm Insurance $5,116 - $9,836 2099%
State Mutual Ins $5,116 - $9,836 2099%
Sterling Investors Life $5,116 - $9,836 2099%
The Hartford $5,116 - $9,836 2099%
Union Bankers Insurance C $5,116 - $9,836 2099%
Union Fidelity Life Ins $5,116 - $9,836 2099%
United American $5,116 - $9,836 2099%
United Teachers Ins $5,116 - $9,836 2099%
Us Dept Of Labor $5,116 - $9,836 2099%
Washington National Ins $5,116 - $9,836 2099%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals