CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Christus Southeast Texas- St Elizabeth

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $484
  • Cash Discount Price: $1,088
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Christus Southeast Texas- St Elizabeth is $484. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,088. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.99x the Medicare baseline. Located in 2830 Calder Avenue, Beaumont, TX.
Cash / Self-Pay
$1,088

Average discount available for prompt cash payment at this facility.

Insurance Median
$484

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: $1,088 (446%)
Insurance Median: $484 (199%)
Cash: $1,088 (446% of Medicare)
Ins. Median: $484 (199% 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.

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
Texas Healthspring $121 50%
UnitedHealthcare $225 - $2,050 92%
Aetna $242 - $1,364 99%
Allwell $242 99%
Arcadian Health Plan $242 99%
Blue Cross Blue Shield $242 - $1,410 99%
Christus Health $242 - $339 99%
Community Health Choice $242 - $312 99%
Coventry $242 99%
Humana $242 - $1,370 99%
Molina $242 - $309 99%
Triwest $242 99%
Wellcare $242 99%
Provider Partners Health Plan $249 102%
Texas Independence Health Plan $249 102%
Shared Health Insurance Company $254 104%
Amerigroup $261 - $309 107%
Devoted Health Plan $261 107%
Imperial Health Plan $266 109%
Medicare (plans) $266 109%
Procare Advantage $266 109%
Superior $294 121%
Texas Childrens Health Plan $309 127%
Adv Cardiovas Specialist $484 199%
Naphcare Inc. $484 199%
Us Imaging Network $1,100 451%
Healthcare Highways $1,185 486%
Cigna $1,226 - $1,568 503%
Lsu First Choice Verity $1,250 - $2,046 513%
Verity Healthnet $1,501 - $2,455 616%
First Health $1,626 - $2,660 667%
Healthsmart $1,626 - $3,274 667%
Multiplan $1,626 - $2,660 667%
Phcs $1,626 - $2,660 667%
Beech Street $2,001 - $3,274 821%
Health Management Network $2,001 - $3,274 821%
Provider Select $2,001 - $3,274 821%
Verity Healthnet National $2,126 - $3,478 872%
Mct Credit Union $2,144 880%
Partners Direct Health $2,217 909%
Five Point Credit Union $2,251 923%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2830 Calder Avenue, Beaumont, TX 77702
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals