CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Neshoba County General Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $592
Cash Discount Price: $731
vs. Medicare Baseline: 2.43x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Neshoba County General Hospital is $592. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $731. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.43x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.

Cash / Self-Pay

$731

Average discount available for prompt cash payment at this facility.

Insurance Median

$592

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: $731 (300%)

Insurance Median: $592 (243%)

Cash: $731 (300% of Medicare)

Ins. Median: $592 (243% 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 243% of the Medicare baseline (a markup of 143%). 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
Magnolia Mcaid	$187	77%
Molina Mcaid	$187	77%
Mpcn Mcaid	$187	77%
UnitedHealthcare	$187 - $1,061	77%
Tricare	$198	81%
Humana	$220	90%
Magnolia Mcr Adv-All Other Plans	$220	90%
Molina Comm-All Other Plans	$220	90%
Molina Mcr Adv	$220	90%
Wellcare Mcr Adv-All Plans	$220	90%
First Choice Comm Ip/Op Only - All Plans	$275	113%
Aetna	$348 - $648	143%
Ahs Ip/Op Only-All Plans	$387	159%
Blue Cross Blue Shield	$400	164%
Affordable Health Care-All Plans	$592 - $1,101	243%
Health Choice Ip/Op Only-All Plans	$592 - $1,101	243%
Health Link Ip/Op Only-All Plans	$592 - $1,101	243%
Geha-All Plans	$626 - $1,166	257%
Multiplan-All Plans	$626 - $1,166	257%
Cigna	$800	328%
Mpcn Ip/Op Only-All Other Plans	$870 - $1,619	357%

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 $731.
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 Neshoba County General 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.