CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Oakdale Community Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,642
  • Cash Discount Price: $801
  • vs. Medicare Baseline: 10.84x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Oakdale Community Hospital is $2,642. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $801. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.84x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.
Cash / Self-Pay
$801

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,642

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: $801 (329%)
Insurance Median: $2,642 (1084%)
Cash: $801 (329% of Medicare)
Ins. Median: $2,642 (1084% 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 1084% of the Medicare baseline (a markup of 984%). 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
Blue Cross Blue Shield $382 157%
Aetna $616 - $2,633 253%
Meritain $616 - $2,633 253%
Amfirst $664 - $937 272%
Self Pay $664 - $937 272%
Medicaid / KanCare $735 - $1,037 302%
UnitedHealthcare $735 - $1,037 302%
Humana $809 - $2,952 332%
Web-Tpa $1,661 - $2,342 681%
Cigna $1,810 - $2,642 743%
Ima $1,993 - $4,685 818%
Ppo Plus $1,993 - $2,811 818%
Wc Gulf South Risk Srvcs $2,989 - $4,216 1226%
Wc Martco $2,989 - $4,216 1226%
Wc Misc $2,989 - $4,216 1226%
Wc Risk Mgmnt-Baton Rouge $2,989 - $4,216 1226%
Wc Sedwick Workmans Comp $2,989 - $4,216 1226%
Wc Us Department Of Labor $2,989 - $4,216 1226%
American Public Life $3,322 - $4,685 1363%
American Retirement Life $3,322 - $4,685 1363%
Apwu $3,322 - $4,685 1363%
Auto Liability $3,322 - $4,685 1363%
Bankers Life $3,322 - $4,685 1363%
Correct Care $3,322 - $4,685 1363%
Fox Everitt $3,322 - $4,685 1363%
Mailhandlers Benefit Plan $3,322 - $4,685 1363%
Medishare $3,322 - $4,685 1363%
Medplus $3,322 - $4,685 1363%
Misc Commerical $3,322 - $4,685 1363%
Phcs $3,322 - $4,685 1363%
Physicians Mutual $3,322 - $4,685 1363%
State Farm-La $3,322 - $4,685 1363%
Triwest $3,322 - $4,685 1363%
Us Family Health Plan $3,322 - $4,685 1363%
Usaa $3,322 - $4,685 1363%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 N Hospital Dr, Oakdale, LA 71463
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals