CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $680
Cash Discount Price: $941
vs. Medicare Baseline: 2.79x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Ochsner Stennis Memorial Hospital is $680. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $941. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.79x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$941

Average discount available for prompt cash payment at this facility.

Insurance Median

$680

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: $941 (386%)

Insurance Median: $680 (279%)

Cash: $941 (386% of Medicare)

Ins. Median: $680 (279% 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 279% of the Medicare baseline (a markup of 179%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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 - $396	48%
Cor Vel	$118 - $405	48%
Humana	$147 - $964	60%
Cigna	$177 - $964	73%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$177 - $973	73%
Medicaid / KanCare	$177 - $191	73%
Medicare (plans)	$177 - $1,108	73%
UnitedHealthcare	$177 - $819	73%
Shared Health Mississippi	$186 - $1,012	76%
Select Administrative Services Network	$196 - $1,124	80%
Prime Health Services Ppo	$203 - $1,285	83%
Ambetter / Centene	$248 - $973	102%
Primewell Health Services Commercial Exchange Plan	$340 - $1,076	139%
Primewell Health Services – Commercial	$340 - $1,076	139%
Blue Cross Blue Shield	$451 - $704	185%
Aetna	$497 - $1,044	204%
Claritev D/B/A Multiplan/Phcs/American Life Care	$834 - $1,204	342%
Zelis	$842 - $1,354	345%

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 $941.
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 Stennis Memorial 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.