CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Texoma Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,893
Cash Discount Price: $8,210
vs. Medicare Baseline: 11.87x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Texoma Medical Center is $2,893. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,210. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.87x the Medicare baseline. Located in 5016 S Us Highway 75, Denison, TX.

Cash / Self-Pay

$8,210

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,893

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: $8,210 (3368%)

Insurance Median: $2,893 (1187%)

Cash: $8,210 (3368% of Medicare)

Ins. Median: $2,893 (1187% 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 1187% of the Medicare baseline (a markup of 1087%). 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
Molina	$290	119%
Tchp	$304	125%
Amerigroup	$467	192%
United_Healthcare	$467	192%
Healthchoice	$483	198%
Superior	$627	257%
Aetna	$1,016 - $5,365	417%
Cigna	$1,339 - $7,607	549%
Humana	$2,116 - $11,170	868%
Multiplan	$2,577 - $13,604	1057%
Healthsmart	$2,722 - $14,370	1117%

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 $8,210.
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 Texoma 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.