CMS Price Transparency Data

MRI, knee or other leg joint

Facility: South County Hospital Inc

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$323
about 1.3× the $244 Medicare rate · typically $271–$530
modeled estimate · not a bill or quote
What this hospital charges insurers
$307
About the fair price
about $16 under the fair price · 1.3× Medicare
Medicare pays $244 Fair price $323 This hospital $307 Cash price $2,250 Hospital's list price $3,750

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

On the higher side — 3 of 4 other RI hospitals charge less.

Cheapest $271 Priciest $462

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $323 (about 1.3× the $244 Medicare rate). South County Hospital Inc charges insurers about $307, or about $2,250 in cash — about the fair price. Located in Wakefield, RI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $223 91%
Blue Cross Blue Shieldmajor $263 108%
Tufts Health Plan $351 144%
+ 1 smaller / regional plan $424

Self-Pay How to get the cash price

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 100 Kenyon Ave, Wakefield, RI 02879
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals