CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Womans Hospital of Texas,The

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,631
  • Cash Discount Price: $13,103
  • vs. Medicare Baseline: 10.79x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Womans Hospital of Texas,The is $2,631. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,103. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.79x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$13,103

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,631

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: $13,103 (5375%)
Insurance Median: $2,631 (1079%)
Cash: $13,103 (5375% of Medicare)
Ins. Median: $2,631 (1079% 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 1079% of the Medicare baseline (a markup of 979%). 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 $205 84%
Amerigroup $209 86%
Texas Childrens Health Plans $209 - $4,209 86%
Community Health Choice Mcd $211 87%
United $215 - $7,256 88%
Aetna $228 - $2,514 94%
Molina Healthcare $230 94%
Humana $261 - $2,974 107%
Blue Cross Blue Shield $466 - $5,644 191%
Superior Health Plan $605 - $968 248%
Cigna $1,740 - $2,241 714%
Christus (Usfhp) $4,032 - $6,450 1654%
Healthsmart Preferred Care $4,334 - $13,706 1778%
Fidelis Securecare Of Tx $4,536 - $7,256 1861%
Coventry National First Health $5,373 - $8,595 2204%
Physicians Cooperative Of Texas $5,544 - $8,869 2274%
Rockport Workers Comp $5,544 - $8,869 2274%
Independent Medical System $6,048 - $9,675 2481%
National Healthcare Solutions $6,048 - $9,675 2481%
Southwest Medical $6,048 - $9,675 2481%
Coastal Comp $6,552 - $10,481 2688%
Affiliated Ppo $7,560 - $12,094 3101%
Fiesta Mart, Inc $7,560 - $12,094 3101%
Multiplan $7,560 - $13,706 3101%
Physicians, Inc $8,568 - $13,706 3515%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals