CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Columbus Regional Healthcare System

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,268
  • Cash Discount Price: $2,673
  • vs. Medicare Baseline: 9.30x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Columbus Regional Healthcare System is $2,268. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,673. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.30x the Medicare baseline. Located in 500 Jefferson St, Whiteville, NC.
Cash / Self-Pay
$2,673

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,268

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: $2,673 (1097%)
Insurance Median: $2,268 (930%)
Cash: $2,673 (1097% of Medicare)
Ins. Median: $2,268 (930% 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 930% of the Medicare baseline (a markup of 830%). 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
Blue Cross Blue Shield $227 - $2,452 93%
Troy $227 93%
UnitedHealthcare $227 - $2,597 93%
Va Communicare Care $227 93%
Wellcare $227 - $853 93%
Vaya Health $229 94%
Liberty $231 95%
Humana $234 96%
Aetna $235 - $3,704 96%
Devoted Health $236 97%
Cigna $238 - $3,628 98%
Molina $674 - $981 276%
Alliance $853 350%
Amerihealth $853 350%
Apex Health $853 350%
Cardinal $853 350%
Carolina Complete Health $853 350%
Healthy Blue $853 350%
Partners $853 350%
Sandhills $853 350%
Trillium $853 350%
Queens University $2,100 861%
Ambetter / Centene $2,222 - $2,585 912%
Oscar $2,482 - $2,788 1018%
Employers Health Network $2,532 - $2,830 1039%
Quicktrip $3,055 1253%
Multiplan $3,437 - $3,628 1410%
Choicecare $3,628 1488%
Healthgram $3,628 1488%
Medcost $3,628 1488%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 Jefferson St, Whiteville, NC 28472
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals