CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Tristar Centennial Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,426
Cash Discount Price: $7,504
vs. Medicare Baseline: 5.85x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Tristar Centennial Medical Center is $1,426. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,504. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.85x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$7,504

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,426

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: $7,504 (3078%)

Insurance Median: $1,426 (585%)

Cash: $7,504 (3078% of Medicare)

Ins. Median: $1,426 (585% 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 585% of the Medicare baseline (a markup of 485%). 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
Humana	$254 - $4,877	104%
United	$314 - $3,377	129%
Blue Cross Blue Shield	$438 - $844	180%
Aetna	$558 - $3,752	229%
Kentucky Labor Cabinet	$1,381	567%
Apex Health	$1,426	585%
Nhc Advantage, Inc.	$1,426	585%
Pruitt Health (Allyalign)	$1,426	585%
Tennessee Donor Services	$2,034	834%
Cigna	$2,341 - $6,003	960%
Emerging Therapy Solutions	$3,677 - $5,028	1508%
Bgfh Singlesource	$3,752 - $6,378	1539%
Value Option	$3,752	1539%
Multiplan	$4,127	1693%
Southern Health Partners	$4,502	1847%
Employers Health Network	$5,253	2155%
Compsych	$6,003	2463%
Beech Street	$6,603	2709%
Prime Health	$6,603	2709%
UnitedHealthcare	$6,678 - $7,504	2739%

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 $7,504.
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 Tristar Centennial 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.