CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Metro Nashville General Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $60
Cash Discount Price: $1,810
vs. Medicare Baseline: 0.25x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Metro Nashville General Hospital is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,810. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.25x the Medicare baseline. Located in 1818 Albion Street, Nashville, TN.

Cash / Self-Pay

$1,810

Average discount available for prompt cash payment at this facility.

Insurance Median

$60

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: $1,810 (743%)

Insurance Median: $60 (25%)

Cash: $1,810 (743% of Medicare)

Ins. Median: $60 (25% 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
UnitedHealthcare	$33 - $60	14%
Corizon	$39	16%
Amerigroup	$52	21%
Amerivantage	$52	21%
Cigna	$53 - $60	22%
Aetna	$60 - $1,659	25%
Blue	$60	25%
Humana	$60	25%
Medicare (plans)	$60	25%
Upmc	$60	25%
Wellcare	$60	25%
Farm Bureau	$61	25%
Corecivic	$66	27%
Ambetter / Centene	$84	34%
Naphcare	$90	37%
Provider Network Of America	$102	42%
Blue Cross Blue Shield	$208 - $274	85%
Bluecare	$264	108%
Tenncare	$264	108%

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 $1,810.
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 Metro Nashville General Hospital 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.