CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Bayou Bend Health System

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $742
Cash Discount Price: $764
vs. Medicare Baseline: 3.04x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Bayou Bend Health System is $742. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $764. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.04x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$764

Average discount available for prompt cash payment at this facility.

Insurance Median

$742

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: $764 (313%)

Insurance Median: $742 (304%)

Cash: $764 (313% of Medicare)

Ins. Median: $742 (304% 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 304% of the Medicare baseline (a markup of 204%). 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
Blue Cross Blue Shield	$256 - $768	105%
UnitedHealthcare	$373 - $546	153%
Tricare	$491	201%
Aetna	$546 - $742	224%
Dignity Mcr Adv Ip/Op Only-All Plans	$546	224%
Humana	$546 - $709	224%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$546	224%
Verity Healthnet Mcr Adv Ip/Op Only	$546	224%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$546	224%
Ambetter / Centene	$627	257%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$768	315%
La Health Mcaid Ip/Op Only	$768	315%
Verity Healthnet Mcaid Ip/Op Only	$768	315%
Diocese Of Lafaytte Ip/Op Only-All Plans	$818	336%
Gilsbar 360 Ip/Op Only-All Plans	$818	336%
Verity Healthnet Ip/Op Only-All Other Plans	$818	336%
Ccn/First Health Ip/Op Only-All Plans	$873	358%
Integrated Hp Multiplan Ip/Op Only-All Plans	$873	358%
Ppo Plus / Zelis Ip/Op Only-All Plans	$873	358%
Geha Ppo Ip/Op Only-All Plans	$927	380%
Usa Mco Ip/Op Only-All Plans	$927	380%
Galaxy Ip/Op Only-All Plans	$982	403%
Cigna	$1,650	677%

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 $764.
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 Bayou Bend Health System 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.