CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Lewisgale Hospital Pulaski

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $4,467
Cash Discount Price: $8,508
vs. Medicare Baseline: 18.32x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Lewisgale Hospital Pulaski is $4,467. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,508. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 18.32x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$8,508

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,467

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: $8,508 (3490%)

Insurance Median: $4,467 (1832%)

Cash: $8,508 (3490% of Medicare)

Ins. Median: $4,467 (1832% 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 1832% of the Medicare baseline (a markup of 1732%). 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
Blue Cross Blue Shield	$219 - $818	90%
United	$518 - $3,829	212%
Lifeworks	$1,617	663%
Universal Healthcare Group	$1,872	768%
Virginia Health Network	$2,978 - $6,041	1222%
Aetna	$2,994 - $3,829	1228%
Greenvbrier Sporting Club	$5,105	2094%
Corvel	$6,126	2513%
Richfield Nursing Center	$6,381	2618%
Richfield Retirement Community	$6,381	2618%
Multiplan	$6,551	2687%
Community Care Network	$6,806	2792%
Graham-White Manufacturing	$6,806	2792%
Occunet Workers Comp	$6,806	2792%
One Health Plan	$6,806	2792%
Patients Choice	$7,487	3071%
4Most	$7,657	3141%
American Postal Workers Union	$7,657	3141%
Phcs	$7,657	3141%
Star Transportation	$7,657	3141%

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 $8,508.
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 Lewisgale Hospital Pulaski 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.