CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Crossgates River Oaks Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $411
  • Cash Discount Price: $674
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Crossgates River Oaks Hospital is $411. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $674. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.69x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
$674

Average discount available for prompt cash payment at this facility.

Insurance Median
$411

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: $674 (276%)
Insurance Median: $411 (169%)
Cash: $674 (276% of Medicare)
Ins. Median: $411 (169% 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 $26 - $14,944 11%
Self Pay $35 - $5,977 14%
UnitedHealthcare $37 - $6,191 15%
Trimed Billing Solutions $38 - $6,404 16%
Ms State Hospital Of Whitfield $48 - $8,112 20%
First Choice Standard $58 - $9,820 24%
First Choice Coventry $65 - $11,101 27%
First Choice Mpcn Standard $69 - $11,741 28%
First Choice Ppo Plus $69 - $11,741 28%
Phcs $76 - $12,809 31%
Benefit Management Systems $91 - $18,146 37%
First Choice Stratose $101 - $17,078 41%
Prime Health Services $101 - $17,078 41%
American Health Group $107 - $18,146 44%
Beech Street $107 - $18,146 44%
Ibew $107 - $18,146 44%
One Health Plan $113 - $19,213 46%
Ms Dept Of Rehabilitation Services $126 - $5,166 52%
Veterans Eval Services $126 - $206 52%
Medicaid / KanCare $184 - $3,256 75%
Magnolia Mcd Chip $186 76%
Caresource Truecare $188 77%
Molina Chip $199 82%
Tricare $205 84%
Node Champva $215 88%
Humana $227 93%
Medicare (plans) $227 93%
Node First Choice Shared Health Of Ms Mcr Adv $227 93%
Node Vantage Health Mcr Adv $227 93%
Node Windsor Mcr Adv $227 93%
Node Magnolia Mcr Adv $229 94%
Node Hospice Non Par Agree $231 95%
Node Va $231 95%
Molina $232 95%
Node Devoted Health Mcr Adv $232 95%
Node First Choice American Health Of Ms Mcr Adv $232 95%
Aetna $234 - $650 96%
Node First Choice Wellcare Mcr Adv $235 96%
Node Healthy Mississippi Mcr Adv $254 104%
Node Us Dept Of Labor $288 118%
Ms Work Comp $294 121%
Prime Health Wc $294 121%
First Choice Preferred $346 142%
Node First Choice Occunet $346 142%
Molina Exchange $362 149%
Node Magnolia Exchange $404 166%
Advanced Health Systems $486 199%
First Choice Lgp $503 206%
Vantage Health Commercial $519 213%
Blue Cross Blue Shield $625 256%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals