CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Methodist Hospital Atascosa

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $811
Cash Discount Price: $5,826
vs. Medicare Baseline: 3.33x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Methodist Hospital Atascosa is $811. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,826. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.33x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.

Cash / Self-Pay

$5,826

Average discount available for prompt cash payment at this facility.

Insurance Median

$811

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: $5,826 (2390%)

Insurance Median: $811 (333%)

Cash: $5,826 (2390% of Medicare)

Ins. Median: $811 (333% 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 333% of the Medicare baseline (a markup of 233%). 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
Community First Health Plans	$209 - $1,794	86%
Molina	$209	86%
United	$209 - $2,991	86%
Aetna	$228 - $3,323	94%
Superior Health	$250 - $332	103%
Humana	$261	107%
Blue Cross Blue Shield	$375 - $1,961	154%
Imperial Insurance	$951 - $1,263	390%
Healthsmart Preferred Care	$2,754 - $3,655	1130%
Multiplan	$3,755 - $5,649	1540%
Triwest Health Alliance	$3,755 - $4,984	1540%

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 $5,826.
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 Methodist Hospital Atascosa 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.