CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Huntsville Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $932
Cash Discount Price: $923
vs. Medicare Baseline: 3.82x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Huntsville Memorial Hospital is $932. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $923. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.82x the Medicare baseline. Located in 110 Memorial Hospital Drive, Huntsville, TX.

Cash / Self-Pay

$923

Average discount available for prompt cash payment at this facility.

Insurance Median

$932

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: $923 (379%)

Insurance Median: $932 (382%)

Cash: $923 (379% of Medicare)

Ins. Median: $932 (382% 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 382% of the Medicare baseline (a markup of 282%). 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
Aetna	$142	58%
Community Health Choice	$233	96%
Superior Health Plan	$233	96%
Tdcj	$233	96%
UnitedHealthcare	$233	96%
Wellcare	$238	98%
Molina	$268	110%
Corporate Remedies	$292	120%
Prime Health Services	$292 - $4,670	120%
Nx Health Network	$350	144%
Blue Cross Blue Shield	$578 - $4,981	237%
Texas Children'S Health Plan	$809 - $4,358	332%
Humana	$932 - $5,024	382%
Three Rivers Provider Network	$959 - $5,168	393%
Rockport	$982 - $5,292	403%
Multiplan	$1,040 - $5,603	427%
Scott And White	$1,040 - $5,603	427%
Cigna	$1,386 - $7,471	569%

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 $923.
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 Huntsville Memorial Hospital 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.