CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Conway Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $190
Cash Discount Price: $1,580
vs. Medicare Baseline: 0.78x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Conway Medical Center is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,580. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.78x the Medicare baseline. Located in 300 Singleton Ridge Road, Conway, SC.

Cash / Self-Pay

$1,580

Average discount available for prompt cash payment at this facility.

Insurance Median

$190

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: $1,580 (648%)

Insurance Median: $190 (78%)

Cash: $1,580 (648% of Medicare)

Ins. Median: $190 (78% 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
Absolute Total Care	$60 - $353	25%
Aetna	$60 - $1,149	25%
Blue Cross Blue Shield	$60 - $1,532	25%
Clover Health	$60 - $225	25%
Devoted	$60 - $225	25%
Emblem	$60 - $225	25%
Healthteam	$60 - $225	25%
Humana	$60 - $225	25%
Molina	$60 - $225	25%
Nhc	$60 - $237	25%
Pruitt	$60 - $237	25%
Select Health	$60 - $225	25%
UnitedHealthcare	$60 - $1,076	25%
Velocity	$60 - $451	25%
Wellcare	$60 - $225	25%
Medcost	$891	366%
Cigna	$1,106	454%
Blue Choice	$1,181	484%

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 $1,580.
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 Conway 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.