CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Hendrick Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $3,324
Cash Discount Price: $8,290
vs. Medicare Baseline: 13.64x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Hendrick Medical Center is $3,324. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,290. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 13.64x the Medicare baseline. Located in 1900 Pine, Abilene, TX.

Cash / Self-Pay

$8,290

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,324

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: $8,290 (3401%)

Insurance Median: $3,324 (1364%)

Cash: $8,290 (3401% of Medicare)

Ins. Median: $3,324 (1364% 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 1364% of the Medicare baseline (a markup of 1264%). 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
Firstcare Star	$219	90%
Superior Health Plan	$251	103%
Wellpoint (Formerly Known As Amerigroup)	$251	103%
Blue Cross Blue Shield	$664 - $3,647	272%
Baylor Scott And White Health Plan	$2,437	1000%
UnitedHealthcare	$3,233 - $4,559	1326%
Cigna	$4,559	1870%
Aetna	$5,223	2143%
Private Healthcare Systems	$5,388 - $6,632	2210%
Healthsmart	$6,217	2550%
Omni Networks	$6,217 - $7,046	2550%
Multiplan	$7,378	3027%

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 $8,290.
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 Hendrick 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.