CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Carilion Stonewall Jackson Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$321

about 1.3× the $244 Medicare rate · typically $192–$750

modeled estimate · not a bill or quote

What this hospital charges insurers

$216

Below the fair price — a good deal

about $105 under the fair price · 0.9× Medicare

Medicare pays $244 Fair price $321 This hospital $216 Cash price $1,349 Hospital's list price $3,855

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Lowest price of the 9 VA hospitals we have prices for — a strong deal.

Cheapest $216 Priciest $246

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $321 (about 1.3× the $244 Medicare rate). Carilion Stonewall Jackson Hospital charges insurers about $216, or about $1,349 in cash — below the fair price — a good deal. Located in Lexington, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$195 - $3,151	80%
Blue Cross Blue Shieldmajor	$186 - $1,113	76%
Aetnamajor	$195 - $2,560	80%
Cignamajor	$3,088	1267%
Humanamajor	$195 - $227	80%
Sentara	$190 - $2,390	78%
+ 9 smaller / regional plans	$2,120 - $3,662

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,349), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Carilion Stonewall Jackson Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Carilion Stonewall Jackson Hospital

Compare: MRI, knee or other leg joint at other VA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.