CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Ochsner Rush Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $340
Cash Discount Price: $390
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Ochsner Rush Hospital is $340. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $390. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.39x the Medicare baseline. Located in 1314 19Th Ave, Meridian, MS.

Cash / Self-Pay

$390

Average discount available for prompt cash payment at this facility.

Insurance Median

$340

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: $390 (160%)

Insurance Median: $340 (139%)

Cash: $390 (160% of Medicare)

Ins. Median: $340 (139% 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
Prime Health Services Ppo -Workers Comp	$117 - $595	48%
Cor Vel	$118 - $607	48%
Humana	$147 - $332	60%
Cigna	$177 - $1,551	73%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$177 - $332	73%
Medicaid / KanCare	$177 - $286	73%
Medicare (plans)	$177 - $381	73%
UnitedHealthcare	$177 - $685	73%
Shared Health Mississippi	$186 - $348	76%
Select Administrative Services Network	$196 - $1,956	80%
Prime Health Services Ppo	$203 - $2,235	83%
Ambetter / Centene	$248 - $464	102%
Primewell Health Services Commercial Exchange Plan	$340 - $929	139%
Primewell Health Services – Commercial	$340 - $929	139%
Zelis	$365 - $1,354	150%
Blue Cross Blue Shield	$451 - $928	185%
Aetna	$497 - $1,816	204%
Claritev D/B/A Multiplan/Phcs/American Life Care	$834 - $2,095	342%

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 $390.
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 Ochsner Rush 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.