CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Tristar Hendersonville Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $796
Cash Discount Price: $7,228
vs. Medicare Baseline: 3.27x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Tristar Hendersonville Medical Center is $796. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,228. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.27x the Medicare baseline. Located in 355 New Shackle Island Rd, Hendersonville, TN.

Cash / Self-Pay

$7,228

Average discount available for prompt cash payment at this facility.

Insurance Median

$796

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: $7,228 (2965%)

Insurance Median: $796 (327%)

Cash: $7,228 (2965% of Medicare)

Ins. Median: $796 (327% 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 327% of the Medicare baseline (a markup of 227%). 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 - $1,807	104%
United	$314 - $3,252	129%
Blue Cross Blue Shield	$498 - $844	204%
Aetna	$558 - $3,614	229%
Kentucky Labor Cabinet	$1,331	546%
Apex Health	$1,373	563%
Nhc Advantage, Inc.	$1,373	563%
Pruitt Health (Allyalign)	$1,373	563%
Cigna	$2,428	996%
Bgfh Singlesource	$3,614 - $6,143	1483%
Employers Health Network	$5,059	2075%
Multiplan	$5,927	2431%
Beech Street	$6,649	2728%

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 $7,228.
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 Hendersonville 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.