CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Acadian Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $3,877
Cash Discount Price: $1,163
vs. Medicare Baseline: 15.90x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Acadian Medical Center is $3,877. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,163. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.90x the Medicare baseline. Located in 3501 Highway 190 East, Eunice, LA.

Cash / Self-Pay

$1,163

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,877

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: $1,163 (477%)

Insurance Median: $3,877 (1590%)

Cash: $1,163 (477% of Medicare)

Ins. Median: $3,877 (1590% 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 1590% of the Medicare baseline (a markup of 1490%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Pp0/Manged Care	$357 - $3,877	146%
Ppo/Manged Care	$357 - $3,877	146%
Blue Cross Blue Shield	$438	180%
Aetna	$733	301%
Mcd Hmo Amerigroup	$733	301%
Mcd Hmo La Care	$733	301%
Mcd Hmo La Hlth Cr Connct	$733	301%
Medicaid / KanCare	$733 - $3,877	301%
UnitedHealthcare	$733	301%
Mcd Hmo Com Hlth Solution	$806	331%
Charity/Map	$1,163 - $3,877	477%
American Postal Workers	$2,466	1012%
Work Comp	$3,489	1431%
Auto Insurance	$3,877	1590%
Bankers Fidelity	$3,877	1590%
Commerical	$3,877	1590%
Commerical Ip	$3,877	1590%
Industrial	$3,877	1590%
Medicare (plans)	$3,877	1590%
Mra Auto/Liability	$3,877	1590%

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 $1,163.
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 Acadian Medical Center 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.