CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Ochsner Medical Center-Kenner

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $700
  • Cash Discount Price: $504
  • vs. Medicare Baseline: 2.87x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Ochsner Medical Center-Kenner is $700. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $504. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.87x the Medicare baseline. Located in 180 West Esplanade Avenue, Kenner, LA.
Cash / Self-Pay
$504

Average discount available for prompt cash payment at this facility.

Insurance Median
$700

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: $504 (207%)
Insurance Median: $700 (287%)
Cash: $504 (207% of Medicare)
Ins. Median: $700 (287% 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 287% of the Medicare baseline (a markup of 187%). 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
Medicaid / KanCare $182 - $286 75%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $211 - $316 87%
Blue Cross Blue Shield $222 - $1,426 91%
Healthy Blue Dual Advantage (Hmo-D-Snp) $222 - $333 91%
Humana $222 - $605 91%
Medicare (plans) $222 - $333 91%
Ochsner Health Plan $222 - $333 91%
Tricare $222 - $333 91%
UnitedHealthcare $222 - $777 91%
Wellcare Of Louisiana $229 - $343 94%
Healthy Blue (Healthy Louisiana) $308 - $617 126%
Louisiana Healthcare Connections (Healthy Louisiana) $308 - $617 126%
Aetna $311 - $1,792 128%
Amerihealth Caritas Louisiana (Healthy Louisiana) $311 - $623 128%
Zelis $990 - $1,980 406%
Healthcomp & Personify Health (Formerly Gilsbar) $1,080 - $2,160 443%
Claritev D/B/A Multiplan/Phcs/American Life Care $1,163 - $2,326 477%
First Health Network $1,350 - $2,700 554%
Louisiana Workers' Compensation Corporation (Lwcc) $1,350 - $2,700 554%
Mississippi Physicians Care Network $1,350 - $2,700 554%
Cigna $1,433 - $2,150 588%
Galaxy Health Network Ppo $1,440 - $2,880 591%
Galaxy Health Network Wc $1,440 - $2,880 591%
Employers Health Network (Ehn) $1,530 - $3,060 628%
Prime Health Services Ppo $1,530 - $3,060 628%
Usa Managed Care Network $1,530 - $3,060 628%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 180 West Esplanade Avenue, Kenner, LA 70065
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals