CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Blount Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $556
  • Cash Discount Price: $921
  • vs. Medicare Baseline: 2.28x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Blount Memorial Hospital is $556. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $921. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.28x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.
Cash / Self-Pay
$921

Average discount available for prompt cash payment at this facility.

Insurance Median
$556

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: $921 (378%)
Insurance Median: $556 (228%)
Cash: $921 (378% of Medicare)
Ins. Median: $556 (228% 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 228% of the Medicare baseline (a markup of 128%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
UnitedHealthcare $160 - $588 66%
Medicaid / KanCare $197 - $483 81%
Blue Cross Blue Shield $224 - $647 92%
Humana $224 92%
Medicare (plans) $224 - $233 92%
Tricare $225 92%
Cigna $233 - $950 96%
Mvp Health Care [3037] $341 - $753 140%
Ambetter / Centene $351 144%
Consociate Health Contracted [4835] $498 204%
Fairos/Occunet Contracted [4837] $521 214%
Golden Rule Insurance Company [2991] $524 215%
Oxford Health Plans [2992] $524 215%
Prisma Health Seniorcare Pace - Midlands [5400] $690 283%
Prisma Health Seniorcare Pace-Upstate [5200] $690 283%
Promise Health Plan Contracted [2401] $1,040 - $2,150 427%
Orangeburg Senior Helping Center Pace [5401] $1,189 488%
Bob Jones Univ-Pai [821] $1,195 490%
Preferred Administrators Contracted [2839] $2,080 853%
Medcost [2940] $2,199 - $2,467 902%
Atlantic Packaging Contracted [4833] $2,229 914%
Aps Healthcare System [2981] $2,378 976%
Multiplan/Phcs Contracted [2950] $2,645 1085%
Aetna $2,675 1097%
Meritain Health Contracted [2200] $2,675 1097%
Nippon [2300] $2,675 1097%
Vsp Vision Care [2986] $2,675 1097%
First Health Contracted [2952] $2,764 1134%
Furman Int/Allen University Student [2951] $2,764 1134%
Quiktrip-First Health [3067] $2,764 1134%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 907 E Lamar Alexander Parkway, Maryville, TN 37804
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals