CMS Price Transparency Data
MRI, knee or other leg joint
Facility: Cannon Memorial Hospital
Billing Code: 73721 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73721
- Insurance Median: $185
- Cash Discount Price: $213
- vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Cannon Memorial Hospital is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.76x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$213
Average discount available for prompt cash payment at this facility.
Insurance Median
$185
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: $213 (87%)
Insurance Median: $185 (76%)
Cash: $213 (87% of Medicare)
Ins. Median: $185 (76% 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.
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 |
|---|---|---|
| Phcs [940] | $21 - $2,310 | 9% |
| Medicaid / KanCare | $47 - $3,500 | 19% |
| Humana | $50 - $2,520 | 21% |
| Select Health Of Sc [637] | $54 - $1,968 | 22% |
| Aetna | $59 - $1,988 | 24% |
| Blue Choice Health Plan [922] | $59 - $1,534 | 24% |
| Blue Cross Blue Shield | $59 - $3,325 | 24% |
| Medicare (plans) | $59 - $3,500 | 24% |
| UnitedHealthcare | $59 - $3,500 | 24% |
| Vaccn - Va Community Care Network [16] | $59 - $185 | 24% |
| Veterans Administration [633] | $59 - $185 | 24% |
| Devoted Health Alt Payer [9401] | $60 - $189 | 25% |
| Devoted Health [94] | $60 - $189 | 25% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $61 - $192 | 25% |
| Absolute Total Care Mcr Plans [41] | $61 - $192 | 25% |
| Cigna | $61 - $3,500 | 25% |
| Molina Dual Options Alt Payer [1501] | $61 - $191 | 25% |
| Molina Dual Options [15] | $61 - $191 | 25% |
| Absolute Total Care [58] | $62 - $2,066 | 25% |
| Champva [604] | $62 - $194 | 25% |
| First Choice Vip Careplus Alt Payer [3301] | $62 - $194 | 25% |
| First Choice Vip [33] | $62 - $194 | 25% |
| Nhc Advantage Alt Payer [6101] | $62 - $194 | 25% |
| Nhc Advantage [61] | $62 - $194 | 25% |
| Tricare | $62 - $194 | 25% |
| Bright Health Alt Payer [1001] | $69 - $226 | 28% |
| Geha [302] | $80 - $1,866 | 33% |
| Golden Rule Ins Co [584] | $80 - $1,866 | 33% |
| Ambetter / Centene | $84 - $265 | 34% |
| Employee Benefit Management Services [869] | $84 - $980 | 34% |
| First Choice Next [96] | $85 - $268 | 35% |
| Molina Marketplace [97] | $85 - $268 | 35% |
| Bright Health [11] | $87 - $285 | 36% |
| Mail Handlers Benefit Plan [327] | $94 - $1,988 | 39% |
| Rural Carrier Benefit Plan [406] | $94 - $1,988 | 39% |
| Workers Compensation [622] | $95 - $300 | 39% |
| Edison Health Solutions [95] | $103 - $324 | 42% |
| Healthscope [98] | $103 - $324 | 42% |
| Preferred Administrators [19] | $106 - $2,100 | 43% |
| Nalc Health Benefit Plan [291] | $107 - $2,082 | 44% |
| Planned Administrators [886] | $147 - $1,424 | 60% |
| Thomas Cooper & Company [315] | $147 - $1,424 | 60% |
| Medcost [206] | $159 - $3,150 | 65% |
| Other Hospital Payers [1991] | $278 - $3,500 | 114% |
| Coventry Health [245] | $2,188 - $2,520 | 898% |
| American Continental Ins [778] | $3,500 | 1436% |
| American Republic Life Ins [722] | $3,500 | 1436% |
| Business Office [6000] | $3,500 | 1436% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $3,500 | 1436% |
| First Health [946] | $3,500 | 1436% |
| Guarantee Trust Life Insurance [236] | $3,500 | 1436% |
| Home Health Infusion Payer [6001] | $3,500 | 1436% |
| Manhattan Life Ins Co [932] | $3,500 | 1436% |
| Miscellaneous Commercial [1] | $3,500 | 1436% |
| New Era Life Ins Co [437] | $3,500 | 1436% |
| Non-Contracted [22] | $3,500 | 1436% |
| Physicians Mutual [773] | $3,500 | 1436% |
| Reference Based Pricing/Limited Plan [21] | $3,500 | 1436% |
| State Farm Ins Co [373] | $3,500 | 1436% |
| Sterling Investors Life [244] | $3,500 | 1436% |
| Supermed/Med Mutual Of Ohio [539] | $3,500 | 1436% |
| United American Ins Co [277] | $3,500 | 1436% |