CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Titus Regional Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $206
Cash Discount Price: $1,008
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Titus Regional Medical Center is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,008. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.85x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.

Cash / Self-Pay

$1,008

Average discount available for prompt cash payment at this facility.

Insurance Median

$206

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: $1,008 (414%)

Insurance Median: $206 (85%)

Cash: $1,008 (414% of Medicare)

Ins. Median: $206 (85% 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.

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
Christus Health Plan	$46 - $242	19%
Humana	$46 - $1,176	19%
Tricare	$46 - $242	19%
Triwest	$46 - $242	19%
UnitedHealthcare	$46 - $1,344	19%
Texas Mutual	$48 - $249	20%
Curative	$51 - $604	21%
Blue Cross Blue Shield	$53 - $1,418	22%
Superior	$54 - $390	22%
Healthcare Highways	$57 - $672	23%
Claritev	$67 - $1,344	27%
Aetna	$99 - $312	41%
Healthsmart	$173 - $1,176	71%
Cigna	$198 - $1,344	81%
Galaxy Health	$235 - $1,596	96%

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 $1,008.
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 Titus Regional Medical Center 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.