CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Dickenson Community Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $808
Cash Discount Price: $599
vs. Medicare Baseline: 3.31x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Dickenson Community Hospital is $808. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $599. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.31x the Medicare baseline. Located in 312 Hospital Drive, Clintwood, VA.

Cash / Self-Pay

$599

Average discount available for prompt cash payment at this facility.

Insurance Median

$808

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: $599 (246%)

Insurance Median: $808 (331%)

Cash: $599 (246% of Medicare)

Ins. Median: $808 (331% 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 331% of the Medicare baseline (a markup of 231%). 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
UnitedHealthcare	$305 - $2,624	125%
Optima Health	$436 - $654	179%
Blue Cross Blue Shield	$449 - $2,213	184%
Aetna	$453 - $2,099	186%
Molina Healthcare	$453 - $819	186%
Amerigroup	$774 - $787	318%
Managed Medicaire	$774 - $787	318%
Medicare (plans)	$774 - $787	318%
Sentara Health	$774 - $968	318%
United Mine Workers Of America	$774 - $787	318%
Cigna	$786 - $1,025	322%
Humana	$787 - $800	323%
Devoted Health Plan	$813 - $827	334%
Nhc Advantage	$813 - $827	334%
Medcost	$903 - $918	370%
Ambetter / Centene	$955 - $971	392%
Seven Corners, Inc.	$2,581 - $2,624	1059%

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 $599.
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 Dickenson Community Hospital 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.