CMS Price Transparency Data

MRI, knee or other leg joint

Facility: St Bernard Parish Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $461
  • Cash Discount Price: $608
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at St Bernard Parish Hospital is $461. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $608. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.89x the Medicare baseline. Located in 8000 West Judge Perez Drive, Chalmette, LA.
Cash / Self-Pay
$608

Average discount available for prompt cash payment at this facility.

Insurance Median
$461

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: $608 (249%)
Insurance Median: $461 (189%)
Cash: $608 (249% of Medicare)
Ins. Median: $461 (189% 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.

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 75%
Tricare $211 87%
Aetna $222 - $592 91%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $222 91%
Blue Cross Blue Shield $222 - $815 91%
Healthy Blue Dual Advantage (Hmo-D-Snp) $222 91%
Humana $222 - $592 91%
Medicare (plans) $222 91%
Ochsner Health Plan $222 91%
UnitedHealthcare $222 - $592 91%
Wellcare Of Louisiana $222 91%
Zelis $459 188%
Amerihealth Caritas Louisiana (Healthy Louisiana) $592 243%
Healthy Blue (Healthy Louisiana) $592 243%
Louisiana Healthcare Connections (Healthy Louisiana) $592 243%
Cigna $1,119 459%
First Health Network $1,234 506%
Healthcomp & Personify Health (Formerly Gilsbar) $1,424 584%
Louisiana Workers' Compensation Corporation (Lwcc) $1,424 584%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8000 West Judge Perez Drive, Chalmette, LA 70043
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals