CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Fort Duncan Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $5,013
Cash Discount Price: $3,913
vs. Medicare Baseline: 20.56x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Fort Duncan Medical Center is $5,013. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,913. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 20.56x the Medicare baseline. Located in 3333 N Foster Maldonado Blvd, Eagle Pass, TX.

Cash / Self-Pay

$3,913

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,013

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: $3,913 (1605%)

Insurance Median: $5,013 (2056%)

Cash: $3,913 (1605% of Medicare)

Ins. Median: $5,013 (2056% 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 2056% of the Medicare baseline (a markup of 1956%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Superior	$290	119%
Driscoll	$299	123%
Molina	$304	125%
United_Healthcare	$304 - $5,013	125%
Blue_Cross_Blue_Shield_Of_Tx	$769 - $937	315%
Eagle_Pass_Isd	$3,251 - $5,258	1334%
Cigna	$4,733 - $7,655	1942%
Aetna	$5,972 - $9,660	2450%
Healthsmart	$7,182 - $11,617	2946%
Multiplan	$7,182 - $11,617	2946%

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 $3,913.
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 Fort Duncan 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.