CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Medical City Lewisville

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $1,556
  • Cash Discount Price: $11,293
  • vs. Medicare Baseline: 6.38x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Medical City Lewisville is $1,556. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,293. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.38x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$11,293

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,556

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: $11,293 (4633%)
Insurance Median: $1,556 (638%)
Cash: $11,293 (4633% of Medicare)
Ins. Median: $1,556 (638% 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 638% of the Medicare baseline (a markup of 538%). 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 $206 85%
Amerigroup $209 86%
Cook Childrens Health Plan $209 86%
Parkland Community Health Plan $209 86%
United $209 - $2,697 86%
Cigna $219 - $1,897 90%
Aetna $226 - $9,851 93%
Molina $230 - $234 94%
Humana $261 - $682 107%
Blue Cross Blue Shield $294 - $6,017 121%
Imaging Providers Of Texas $450 185%
Superior Health Plan $632 - $949 259%
Unicare $2,168 - $13,551 889%
Healthcare Highways $3,054 - $4,580 1253%
City Of Mckinney $4,065 - $6,098 1668%
Fidelis Securecare $4,065 - $6,098 1668%
National Choicecare $4,517 - $6,775 1853%
Pc Texas Partners $4,969 - $7,453 2038%
Physicians Coop Of Tx $4,969 - $7,453 2038%
Rockport Health Group $4,969 - $7,453 2038%
Averde Health, Inc $5,240 - $7,859 2150%
Usc Health Services $5,421 - $8,130 2224%
Coastal Comp Health Networks $6,324 - $9,486 2594%
Jostens $6,324 - $9,486 2594%
Mega Life $6,324 - $9,486 2594%
Healthsmart Preferred Care $6,776 - $10,163 2780%
Lewisville Isd/Dls Consulting $6,776 - $10,163 2780%
Usa Managed Care $7,227 - $10,841 2965%
Galaxy Health Network $7,679 - $11,518 3150%
Independent Medical Systems $9,034 - $13,551 3706%
National Healthcare Solutions $9,034 - $13,551 3706%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals