CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Medical City North Hills

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,301
  • Cash Discount Price: $12,781
  • vs. Medicare Baseline: 9.44x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Medical City North Hills is $2,301. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,781. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.44x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$12,781

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,301

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: $12,781 (5243%)
Insurance Median: $2,301 (944%)
Cash: $12,781 (5243% of Medicare)
Ins. Median: $2,301 (944% 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 944% of the Medicare baseline (a markup of 844%). 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
Amerigroup $209 86%
Cook Childrens Health Plan $209 86%
Parkland Community Health Plan $209 86%
United $209 - $3,664 86%
Cigna $219 - $13,633 90%
Aetna $226 - $12,389 93%
Molina $230 - $234 94%
Humana $261 - $682 107%
Blue Cross Blue Shield $277 - $7,566 114%
Imaging Providers Of Texas $450 185%
Superior Health Plan $596 - $1,193 244%
Unicare $1,789 - $17,041 734%
Healthcare Highways $2,880 - $5,760 1181%
City Of Mckinney $3,835 - $7,668 1573%
Fidelis Securecare $3,835 - $7,668 1573%
National Choicecare $4,261 - $8,520 1748%
Pc Texas Partners $4,687 - $9,372 1923%
Physicians Coop Of Tx $4,687 - $9,372 1923%
Rockport Health Group $4,687 - $9,372 1923%
Averde Health, Inc $4,942 - $9,884 2027%
Magellan Behavior Health $5,113 - $10,225 2097%
Coastal Comp Health Networks $5,965 - $11,929 2447%
Mega Life $5,965 - $11,929 2447%
Healthsmart Preferred Care $6,391 - $12,781 2622%
Lewisville Isd/Dls Consulting $6,391 - $12,781 2622%
Usa Managed Care $6,817 - $13,633 2796%
Usc Health Services $6,817 - $13,633 2796%
Galaxy Health Network $7,243 - $14,485 2971%
Independent Medical Systems $8,521 - $17,041 3496%
National Healthcare Solutions $8,521 - $17,041 3496%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals