CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Leonard J Chabert Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $522
  • Cash Discount Price: $453
  • vs. Medicare Baseline: 2.14x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Leonard J Chabert Medical Center is $522. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $453. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.14x the Medicare baseline. Located in 1978 Industrial Blvd, Houma, LA.
Cash / Self-Pay
$453

Average discount available for prompt cash payment at this facility.

Insurance Median
$522

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: $453 (186%)
Insurance Median: $522 (214%)
Cash: $453 (186% of Medicare)
Ins. Median: $522 (214% 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 214% of the Medicare baseline (a markup of 114%). 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
Tricare $87 - $138 36%
Medicaid / KanCare $182 - $272 75%
Aetna $222 - $1,350 91%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $222 - $333 91%
Blue Cross Blue Shield $222 - $1,369 91%
Healthy Blue Dual Advantage (Hmo-D-Snp) $222 - $333 91%
Medicare (plans) $222 - $333 91%
Ochsner Health Plan $222 - $333 91%
UnitedHealthcare $222 - $830 91%
Healthy Blue (Healthy Louisiana) $257 - $514 105%
Humana $257 - $514 105%
Louisiana Healthcare Connections (Healthy Louisiana) $257 - $514 105%
Amerihealth Caritas Louisiana (Healthy Louisiana) $265 - $529 109%
Verity Commercial And First Choice Network $549 - $1,099 225%
Zelis $599 - $899 246%
Claritev D/B/A Multiplan/Phcs/American Life Care $723 - $1,446 297%
Louisiana Workers' Compensation Corporation (Lwcc) $723 - $1,446 297%
First Health Network $771 - $1,542 316%
Healthcomp & Personify Health (Formerly Gilsbar) $790 - $1,581 324%
Usa Managed Care Network $819 - $1,639 336%
Cigna $1,132 - $1,698 464%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1978 Industrial Blvd, Houma, LA 70363
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals