CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Monroe Surgical Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $465
Cash Discount Price: $2,681
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Monroe Surgical Hospital is $465. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,681. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.91x the Medicare baseline. Located in 2408 Broadmoor Blvd, Monroe, LA.

Cash / Self-Pay

$2,681

Average discount available for prompt cash payment at this facility.

Insurance Median

$465

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: $2,681 (1100%)

Insurance Median: $465 (191%)

Cash: $2,681 (1100% of Medicare)

Ins. Median: $465 (191% 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
Aetna	$216 - $3,003	89%
Blue_Cross_Blue_Shield	$216 - $323	89%
Ford_Bacon_And_Davis	$216	89%
Humana	$216 - $378	89%
Medicare (plans)	$216	89%
UnitedHealthcare	$216 - $1,937	89%
Vantage	$216 - $378	89%
Insurance_Systems_Smso_Employee	$270	111%
Insurance_Systems	$302	124%
Verity	$351	144%
Healthy_Blue	$367 - $551	151%
Medicaid / KanCare	$367 - $551	151%
Gilsbar	$464	190%
First_Health	$2,000	820%
Cigna	$2,145 - $3,218	880%
Ima	$2,288 - $3,432	939%
Beech_St	$2,428 - $3,642	996%
Workers_Comp	$2,574 - $3,861	1056%

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 $2,681.
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 Monroe Surgical 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.