CMS Price Transparency Data

MRI, knee or other leg joint

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,914
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 11.95x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at University of Texas M. D. Anderson Cancer Center is $2,914. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.95x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,914

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%)
Insurance Median: $2,914 (1195%)
Ins. Median: $2,914 (1195% 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 1195% of the Medicare baseline (a markup of 1095%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Texaschildrens $47 - $1,832 19%
Tricare $54 - $3,122 22%
Vacare $54 - $1,832 22%
Medicare (plans) $76 - $1,832 31%
Blue Cross Blue Shield $98 - $2,997 40%
UnitedHealthcare $127 - $3,403 52%
Cigna $134 - $3,122 55%
Aetna $182 - $3,122 75%
Humana $317 - $3,206 130%
Ontarioministriesofhealth $391 - $3,081 160%
Beijingst.Lucia $397 - $3,122 163%
Embassyofqatar $397 - $3,122 163%
Memorialhermannhealth $397 - $3,122 163%
Emergingtherapysolutions_Cancercare $423 - $3,330 174%
Interlink_Cancercare $423 - $3,330 174%
Saudiarmedforces $423 - $3,330 174%
Uae_Medical $423 - $3,330 174%
Uaepoliceattache $423 - $3,330 174%
Healthsmart $450 - $3,539 185%
Vantage $450 - $3,539 185%
Multiplan $518 - $3,580 212%
Phcs $518 - $3,580 212%
Emergingtherapysolutions $3,122 - $3,330 1281%
Interlink $3,122 - $3,539 1281%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL