CMS Price Transparency Data

MRI, knee or other leg joint

Facility: University Health System, Inc

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,912
Cash Discount Price: $1,103
vs. Medicare Baseline: 7.84x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at University Health System, Inc is $1,912. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,103. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.84x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.

Cash / Self-Pay

$1,103

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,912

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: $1,103 (452%)

Insurance Median: $1,912 (784%)

Cash: $1,103 (452% of Medicare)

Ins. Median: $1,912 (784% 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 784% of the Medicare baseline (a markup of 684%). 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
UnitedHealthcare	$71 - $4,118	29%
Wellpoint	$201 - $234	82%
Cigna	$221 - $4,465	91%
Humana	$221	91%
Blue Cross Blue Shield	$227 - $3,765	93%
Aetna	$230 - $4,118	94%
Devoted Health	$230	94%
Wellcare-Windsor Medadv	$232	95%
American Health	$234	96%
Medicare (plans)	$234 - $236	96%
Nhc	$234	96%
Fentress County Sheriffs Dept	$1,176 - $2,353	482%
Multiplan	$1,765 - $3,530	724%
Nx Health	$1,765 - $3,530	724%
Phcs	$1,765 - $3,530	724%
Naphcare	$1,912 - $3,824	784%
Coventry	$2,059 - $4,118	845%
Beechstreet	$2,206 - $4,412	905%
Prime Health	$2,206 - $5,882	905%
Seven Corners	$2,206 - $4,412	905%
Usa	$2,353 - $4,706	965%
Evolutions	$2,647 - $5,294	1086%
Galaxy	$2,647 - $5,294	1086%
Healthsmart	$2,647 - $5,294	1086%

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 $1,103.
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 University Health System, Inc 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.