CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Merit Health Central

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $215
  • Cash Discount Price: $637
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Merit Health Central is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $637. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.88x the Medicare baseline. Located in 1850 Chadwick Dr, Jackson, MS.
Cash / Self-Pay
$637

Average discount available for prompt cash payment at this facility.

Insurance Median
$215

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: $637 (261%)
Insurance Median: $215 (88%)
Cash: $637 (261% of Medicare)
Ins. Median: $215 (88% 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
Cigna $25 - $1,625 10%
UnitedHealthcare $27 - $1,749 11%
Self Pay $31 - $2,062 13%
Trimed Billing Solutions $38 - $2,474 16%
Ms State Hospital Of Whitfield $48 - $3,134 20%
First Choice Ppo Plus $57 - $3,712 23%
First Choice Standard $58 - $3,794 24%
First Choice Mpcn Standard $69 - $4,536 28%
Hinds County Prisoners $69 - $4,536 28%
Benefit Management Systems $91 - $7,011 37%
Citizens State Bank Inc $91 - $7,011 37%
First Choice Stratose $101 - $6,598 41%
Prime Health Services $101 - $6,598 41%
American Health Group $107 - $7,011 44%
Beech Street $107 - $7,011 44%
One Health Plan $113 - $7,423 46%
Ms Dept Of Rehabilitation Services $126 - $8,248 52%
Veterans Eval Services $126 - $206 52%
Medicaid / KanCare $171 - $1,258 70%
Magnolia Mcd Ms Chip $186 76%
Caresource Truecare $188 77%
Molina Chip $199 82%
Tricare $205 84%
Humana $212 87%
Medicare (plans) $212 87%
Node First Choice Shared Health Of Ms Mcr Adv $212 87%
Node Vantage Health Mcr Adv $212 87%
Node Magnolia Mcr Adv $214 88%
Node Champva $215 88%
Node Hospice Non Par Agree $215 88%
Node Va $215 88%
Molina $216 89%
Node Devoted Health Mcr Adv $216 89%
Node First Choice American Health Of Ms Mcr Adv $216 89%
Aetna $218 - $650 89%
Node First Choice Wellcare Mcr Adv $220 90%
Node Healthy Mississippi Mcr Adv $237 97%
Node Us Dept Of Labor $269 110%
Prime Work Comp $285 117%
Ms Work Comp $294 121%
First Choice Preferred $323 133%
Occunet $323 133%
Molina Exchange $362 149%
Seven Corners $366 150%
Magnolia Exchange $377 155%
First Choice Lgp $470 193%
Vantage Health Commercial $485 199%
Advanced Health Systems $486 199%
Blue Cross Blue Shield $625 256%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1850 Chadwick Dr, Jackson, MS 39204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals