CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Angel Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,029
Cash Discount Price: $5,848
vs. Medicare Baseline: 8.32x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Angel Medical Center is $2,029. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,848. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.32x the Medicare baseline. Located in 124 Center Court Po Box 1209, Franklin, NC.

Cash / Self-Pay

$5,848

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,029

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: $5,848 (2399%)

Insurance Median: $2,029 (832%)

Cash: $5,848 (2399% of Medicare)

Ins. Median: $2,029 (832% 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 832% of the Medicare baseline (a markup of 732%). 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
One Call Medical	$400	164%
Amerigroup	$443	182%
Blue Cross Blue Shield	$994 - $1,046	408%
United	$1,062 - $2,632	436%
Wellcare	$1,078	442%
Amerihealth	$1,088	446%
Partners Health Management	$1,098	450%
Vaya Health	$1,098	450%
Apex Health	$1,170	480%
Aetna	$1,287 - $3,766	528%
Cigna	$2,029 - $3,345	832%
Amerihealth Caritas	$2,281	936%
Caresource	$2,573	1056%
Medcost	$2,573 - $3,091	1056%
Magellan	$3,509	1439%
Magellan Behavioral Health	$3,509	1439%
Multiplan	$4,678	1919%
Avalon Administrative Services	$4,971	2039%
Prime Health	$5,146 - $5,263	2111%

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 $5,848.
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 Angel Medical Center 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.