CMS Price Transparency Data

MRI, knee or other leg joint

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $254
  • Cash Discount Price: $1,385
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,385. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.04x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.
Cash / Self-Pay
$1,385

Average discount available for prompt cash payment at this facility.

Insurance Median
$254

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: $1,385 (568%)
Insurance Median: $254 (104%)
Cash: $1,385 (568% of Medicare)
Ins. Median: $254 (104% 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
Molina $51 - $254 21%
Parkland $51 - $211 21%
UnitedHealthcare $51 - $1,999 21%
Wellpoint $51 - $254 21%
Aetna $59 - $1,566 24%
Superior $60 - $254 25%
Procare $62 - $242 25%
Ambetter / Centene $64 - $209 26%
Blue Cross Blue Shield $65 - $2,647 27%
Humana $65 - $251 27%
United Options Nexus $91 - $2,169 37%
Coventry $101 - $1,936 41%
Healthfirst $123 - $1,556 50%
Quiktrip $140 - $1,744 57%
Rockwall County $143 - $1,938 59%
Maestro Health/Fort Worth Firefighters $155 - $1,480 64%
Phcs $158 - $2,246 65%
Galaxy Health Network $184 - $2,437 75%
Multiplan $184 - $2,409 75%
Cigna $186 - $2,039 76%
Healthsmart $198 - $2,298 81%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6201 Harry Hines Blvd, Dallas, TX 75390
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals