CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Las Palmas Medical Center A Campus of Lpds Healthc

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $6,046
  • Cash Discount Price: $15,241
  • vs. Medicare Baseline: 24.80x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Las Palmas Medical Center A Campus of Lpds Healthc is $6,046. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,241. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 24.80x the Medicare baseline. Located in 1801 North Oregon Street, El Paso, TX.
Cash / Self-Pay
$15,241

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,046

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: $15,241 (6252%)
Insurance Median: $6,046 (2480%)
Cash: $15,241 (6252% of Medicare)
Ins. Median: $6,046 (2480% 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 2480% of the Medicare baseline (a markup of 2380%). 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 - $219 86%
Centennial Care $209 86%
St David’S Hospice $209 86%
Western Sky Community Care $209 86%
United $211 - $8,275 87%
El Paso First Health Plans $215 88%
Aetna $226 - $2,894 93%
Molina Healthcare $230 94%
Humana $261 107%
Superior Health Plan $726 - $1,103 298%
Blue Cross Blue Shield $732 - $1,247 300%
Cigna $1,306 - $3,989 536%
Bienvivir Senior Health $2,056 - $3,126 843%
Healthcare Highways $2,322 - $3,531 953%
First Health $5,441 - $8,275 2232%
Healthsmart Preferred Care $5,441 - $10,114 2232%
Emerging Therapy Solutions $5,562 - $12,688 2282%
Sheriff'S Dept El Paso County Detention $6,046 - $9,194 2480%
Ysleta Del Sur Pueblo $6,046 - $9,194 2480%
Southwest Medical Provider Network $6,651 - $10,114 2728%
Prime Health $7,255 - $11,033 2976%
Texas Workforce Commission $7,618 - $11,585 3125%
Multiplan $7,860 - $11,953 3224%
Phcs $7,860 - $11,953 3224%
Integrated Medical Systems $8,464 - $12,872 3472%
Samsa $8,464 - $12,872 3472%
Danmark - International Contract $9,069 - $13,792 3720%
Galaxy Health Network $9,069 - $13,792 3720%
Medcorp Southwest $9,674 - $14,711 3968%
Usa Managed Care $9,915 - $17,470 4067%
Affiliated Healthcare $10,278 - $15,631 4216%
National Provider Network $10,883 - $16,550 4464%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 North Oregon Street, El Paso, TX 79902
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals