CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Merit Health Natchez

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $496
  • Cash Discount Price: $2,551
  • vs. Medicare Baseline: 2.03x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Merit Health Natchez is $496. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,551. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.03x the Medicare baseline. Located in 52 Sergeant Prentiss Drive, Natchez, MS.
Cash / Self-Pay
$2,551

Average discount available for prompt cash payment at this facility.

Insurance Median
$496

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: $2,551 (1046%)
Insurance Median: $496 (203%)
Cash: $2,551 (1046% of Medicare)
Ins. Median: $496 (203% 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 203% of the Medicare baseline (a markup of 103%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $184 - $1,297 75%
UnitedHealthcare $184 - $1,297 75%
Caresource Truecare $188 77%
Molina Chip $199 82%
Veterans Eval Services $206 - $411 85%
First Choice $223 - $5,951 91%
Medicare (plans) $223 - $493 91%
Node Magnolia Mcr Adv $223 - $493 91%
Node Vantage Mcr Adv $223 - $493 91%
Tricare $226 - $498 93%
Node First Choice Ice $227 - $501 93%
Node Hospice Non Par Agree $227 - $501 93%
Node Va $227 - $501 93%
Node Devoted Health Mcr Adv $228 - $503 94%
Node First Choice American Health Of Ms Mcr Adv $228 - $503 94%
Node Molina $228 - $503 94%
Node Peoples Health Mcr Adv $228 - $503 94%
Aetna $230 - $4,795 94%
Node First Choice Wellcare Mcr Adv $231 - $511 95%
Node Dignity Care Mcr Adv $234 - $517 96%
Node Champva $238 - $524 98%
Node Healthy Mississippi Mcr Adv $250 - $551 103%
Node Us Dept Of Labor $284 - $626 117%
Prime Health Wc $285 117%
Work Comp $294 121%
Molina Exchange $377 - $857 155%
Magnolia Exchange $397 - $876 163%
Medpartners $425 174%
Advanced Health Systems $486 - $1,186 199%
Vantage Commercial $511 - $1,127 210%
Vantage Ppaca Tiered $522 - $1,152 214%
Blue Cross Blue Shield $625 - $1,527 256%
Cigna $675 277%
Humana $1,297 532%
Self Pay $1,530 - $3,571 628%
Trimed Billing Solutions $2,551 1046%
Ms Dept Of Rehabilitation Services $6,154 2525%
Prime Health Services $6,802 2790%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 52 Sergeant Prentiss Drive, Natchez, MS 39120
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals