CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Merit Health River Oaks

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $216
  • Cash Discount Price: $1,146
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Merit Health River Oaks is $216. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,146. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.89x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$1,146

Average discount available for prompt cash payment at this facility.

Insurance Median
$216

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: $1,146 (470%)
Insurance Median: $216 (89%)
Cash: $1,146 (470% of Medicare)
Ins. Median: $216 (89% 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 - $2,495 10%
Self Pay $28 - $2,759 11%
UnitedHealthcare $34 - $3,348 14%
Trimed Billing Solutions $38 - $3,762 16%
Ms State Hospital Of Whitfield Ms $48 - $4,765 20%
First Choice Standard $58 - $5,768 24%
First Choice Coventry $65 - $6,521 27%
First Choice Mpcn Standard $69 - $6,897 28%
First Choice Ppo Plus $69 - $6,897 28%
Phcs $76 - $7,524 31%
Benefit Administration Services $91 - $10,659 37%
Benefit Management Systems $91 - $10,659 37%
Citizens State Bank Inc $91 - $10,659 37%
First Choice Stratose $101 - $10,032 41%
Prime Health Services $101 - $10,032 41%
American Health Group $107 - $10,659 44%
Beech Street $107 - $10,659 44%
Formost $107 - $10,659 44%
Usa Mco $107 - $10,659 44%
One Health Plan $113 - $11,286 46%
Ms Dept Of Rehabilitation Services $126 - $7,381 52%
Veterans Eval Services $126 - $206 52%
Medicaid / KanCare $184 - $1,912 75%
Magnolia Mcd 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 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 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%
Ms Work Comp $294 121%
Prime Health Wc $294 121%
First Choice Preferred $323 133%
Node First Choice Occunet $323 133%
Molina Exchange $362 149%
Node First Choice 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 $712 292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals