CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Lewisgale Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $5,084
  • Cash Discount Price: $8,473
  • vs. Medicare Baseline: 20.86x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Lewisgale Medical Center is $5,084. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,473. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 20.86x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.
Cash / Self-Pay
$8,473

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,084

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: $8,473 (3476%)
Insurance Median: $5,084 (2086%)
Cash: $8,473 (3476% of Medicare)
Ins. Median: $5,084 (2086% 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 2086% of the Medicare baseline (a markup of 1986%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $287 - $1,070 118%
United $518 - $3,813 212%
Cigna $1,474 605%
Lifeworks $1,610 660%
Universal Healthcare Group $1,864 765%
Virginia Health Network $2,966 - $6,016 1217%
Aetna $2,994 - $4,644 1228%
Naphcare $4,236 1738%
Greenvbrier Sporting Club $5,084 2086%
Graham-White Manufacturing $5,931 2433%
Richfield Nursing Center $5,931 2433%
Corvel $6,101 2503%
Community Care Network $6,355 2607%
Richfield Retirement Community $6,355 2607%
Csx Hotels $6,778 2780%
Occunet Workers Comp $6,778 2780%
One Health Plan $6,778 2780%
Patients Choice $7,456 3059%
4Most $7,626 3128%
Alleghany Highland Community $7,626 3128%
American Postal Workers Union $7,626 3128%
C&O Employees Hospital Assn $7,626 3128%
Multiplan $7,626 3128%
Phcs $7,626 3128%
Star Transportation $7,626 3128%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Electric Road, Salem, VA 24153
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals