CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Medical City Plano

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,476
  • Cash Discount Price: $10,609
  • vs. Medicare Baseline: 10.16x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Medical City Plano is $2,476. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,609. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.16x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$10,609

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,476

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: $10,609 (4352%)
Insurance Median: $2,476 (1016%)
Cash: $10,609 (4352% of Medicare)
Ins. Median: $2,476 (1016% 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 1016% of the Medicare baseline (a markup of 916%). 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
Amerigroup $209 86%
United $209 - $2,256 86%
Cigna $219 - $1,815 90%
Aetna $226 - $7,844 93%
Molina $230 - $234 94%
Parkland Community Health Plan $230 94%
Humana $261 - $682 107%
Blue Cross Blue Shield $294 - $5,757 121%
Imaging Providers Of Texas $450 185%
Superior Health Plan $578 - $908 237%
Lifecare Hospitals $2,476 - $3,890 1016%
Healthcare Highways $2,789 - $4,383 1144%
Prominence Health Plan $3,301 - $5,186 1354%
City Of Mckinney $3,713 - $5,835 1523%
Fidelis Securecare $3,713 - $5,835 1523%
National Choicecare $4,126 - $6,483 1693%
Pc Texas Partners $4,539 - $7,131 1862%
Physicians Coop Of Tx $4,539 - $7,131 1862%
Rockport Health Group $4,539 - $7,131 1862%
Averde Health, Inc $4,786 - $7,520 1963%
Texas Healthcare Foundation Wc $5,364 - $8,428 2200%
Coastal Comp Health Networks $5,776 - $9,076 2369%
Mega Life $5,776 - $9,076 2369%
Healthsmart Preferred Care $6,189 - $9,725 2539%
Lewisville Isd/Dls Consulting $6,189 - $9,725 2539%
Usa Managed Care $6,601 - $10,373 2708%
Usc Health Services $6,601 - $10,373 2708%
Galaxy Health Network $7,014 - $11,021 2877%
Independent Medical Systems $8,252 - $12,966 3385%
National Healthcare Solutions $8,252 - $12,966 3385%
Unicare $8,252 - $12,966 3385%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals