CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Betsy Johnson Regional Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $355
Cash Discount Price: $4,271
vs. Medicare Baseline: 1.46x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Betsy Johnson Regional Hospital is $355. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,271. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.46x the Medicare baseline. Located in 800 Tilghman Dr, Dunn, NC.

Cash / Self-Pay

$4,271

Average discount available for prompt cash payment at this facility.

Insurance Median

$355

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: $4,271 (1752%)

Insurance Median: $355 (146%)

Cash: $4,271 (1752% of Medicare)

Ins. Median: $355 (146% 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.

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
Carolina Complete Health	$236 - $522	97%
Humana	$236 - $574	97%
Longevity	$236 - $532	97%
Medcost	$236 - $522	97%
Troy	$236 - $532	97%
UnitedHealthcare	$236 - $548	97%
Wellcare	$236 - $522	97%
Aetna	$241 - $1,304	99%
First Carolina Care	$241 - $532	99%
Healthy Blue	$241 - $532	99%
Liberty Advantage	$241 - $574	99%
New Hanover	$248 - $548	102%
Ambetter / Centene	$355 - $1,043	146%

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 $4,271.
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 Betsy Johnson Regional 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.