CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Parkridge Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,537
Cash Discount Price: $8,089
vs. Medicare Baseline: 6.31x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Parkridge Medical Center is $1,537. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,089. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.31x the Medicare baseline. Located in 2333 McCallie Ave, Chattanooga, TN.

Cash / Self-Pay

$8,089

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,537

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: $8,089 (3318%)

Insurance Median: $1,537 (631%)

Cash: $8,089 (3318% of Medicare)

Ins. Median: $1,537 (631% 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 631% of the Medicare baseline (a markup of 531%). 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
Aetna	$157 - $4,045	64%
Health One Alliance	$233 - $5,258	96%
Humana	$269 - $5,258	110%
United	$314 - $3,640	129%
Blue Cross Blue Shield	$397 - $2,508	163%
Ambetter / Centene	$420 - $447	172%
Amerigroup	$1,230	505%
Kentucky Labor Cabinet	$1,489	611%
Apex Health	$1,537	631%
Nhc Advantage, Inc.	$1,537	631%
Pruitt Health (Allyalign)	$1,537	631%
Peach State	$1,618	664%
Wellcare	$1,618	664%
Cigna	$2,775 - $6,472	1138%
Value Option	$4,045	1659%
Magellan Behavioral Health	$4,854	1991%
Multiplan	$4,854	1991%
North Ga Health Services	$5,258	2157%
Employers Health Network	$5,663	2323%
Olympus Managed Healthcare	$5,663	2323%
Compsych	$6,472	2655%
Beech Street	$7,119	2920%
Prime Health	$7,119	2920%

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 $8,089.
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 Parkridge 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.