CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Indian Path Community Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $478
  • Cash Discount Price: $610
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Indian Path Community Hospital is $478. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $610. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.96x the Medicare baseline. Located in 2000 Brookside Dr, Kingsport, TN.
Cash / Self-Pay
$610

Average discount available for prompt cash payment at this facility.

Insurance Median
$478

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: $610 (250%)
Insurance Median: $478 (196%)
Cash: $610 (250% of Medicare)
Ins. Median: $478 (196% 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.

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
Amerigroup $215 - $514 88%
Aetna $216 - $2,615 89%
Humana $216 - $478 89%
Managed Medicaire $216 - $478 89%
Medicare (plans) $216 - $478 89%
Mountain Empire Pace $216 - $478 89%
Sentara Health $216 - $1,415 89%
United Mine Workers Of America $216 - $478 89%
UnitedHealthcare $216 - $4,099 89%
Blue Cross Blue Shield $223 - $1,929 91%
Molina Healthcare $225 - $497 92%
Cigna $227 - $1,025 93%
Devoted Health Plan $227 - $502 93%
Nhc Advantage $227 - $502 93%
Wellcare $229 - $4,099 94%
Optima Health $290 - $436 119%
Ambetter / Centene $472 - $1,041 194%
Seven Corners, Inc. $520 - $1,146 213%
Medcost $1,412 - $1,435 579%
First Health Coventry $3,025 - $3,074 1241%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Brookside Dr, Kingsport, TN 37660
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals