CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Houston Healthcare Conroe

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,579
  • Cash Discount Price: $32,239
  • vs. Medicare Baseline: 10.58x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Houston Healthcare Conroe is $2,579. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32,239. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.58x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$32,239

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,579

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: $32,239 (13225%)
Insurance Median: $2,579 (1058%)
Cash: $32,239 (13225% of Medicare)
Ins. Median: $2,579 (1058% 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 1058% of the Medicare baseline (a markup of 958%). 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
Texas Health Network $205 84%
Amerigroup $209 86%
Liberty County Indigent $209 86%
Texas Childrens Health Plans $209 - $8,768 86%
Community Health Choice Mcd $211 87%
United $215 - $19,342 88%
Aetna $228 - $2,168 94%
Molina Healthcare $230 94%
Humana $261 - $2,974 107%
Blue Cross Blue Shield $501 - $15,043 206%
Superior Health Plan $1,290 - $2,579 529%
Cigna $2,127 - $2,739 873%
Tx Workforce Commission $5,159 - $10,316 2116%
Christus (Usfhp) $8,598 - $17,192 3527%
Healthsmart Preferred Care $9,243 - $36,534 3792%
Fidelis Securecare Of Tx $9,673 - $19,342 3968%
Coventry National First Health $11,457 - $22,909 4700%
Physicians Cooperative Of Texas $11,823 - $23,640 4850%
Rockport Workers Comp $11,823 - $23,640 4850%
Independent Medical System $12,898 - $25,789 5291%
National Healthcare Solutions $12,898 - $25,789 5291%
Southwest Medical $12,898 - $25,789 5291%
Coastal Comp $13,972 - $27,938 5732%
Multiplan $16,122 - $36,534 6614%
Physicians, Inc $18,272 - $36,534 7496%
Affiliated Ppo $19,346 - $38,683 7936%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 504 Medical Center Blvd, Conroe, TX 77304
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals