CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Round Rock Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $3,684
  • Cash Discount Price: $11,658
  • vs. Medicare Baseline: 15.11x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Round Rock Medical Center is $3,684. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,658. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.11x the Medicare baseline. Located in 2400 Round Rock Ave, Round Rock, TX.
Cash / Self-Pay
$11,658

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,684

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: $11,658 (4782%)
Insurance Median: $3,684 (1511%)
Cash: $11,658 (4782% of Medicare)
Ins. Median: $3,684 (1511% 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 1511% of the Medicare baseline (a markup of 1411%). 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
St David’S Hospice $209 86%
United $215 - $6,993 88%
Blue Cross Blue Shield $219 - $4,958 90%
Molina Healthcare $230 94%
Humana $261 107%
Sendero $261 107%
Aetna $263 - $2,974 108%
Amerigroup $360 148%
Superior Health Plan $389 - $2,642 160%
Imo Med - Select Network $2,332 - $4,662 957%
Texas Healthcare Foundation Heb $2,876 - $5,750 1180%
Texas Workforce Commission $3,032 - $6,061 1244%
Averde Health $3,498 - $6,993 1435%
Comanche County $3,887 - $7,770 1595%
National Choicecare $3,887 - $7,770 1595%
Healthsmart Preferred Care $4,276 - $12,433 1754%
Independent Medical Systems $4,276 - $8,548 1754%
Physicians Cooperative Of Texas $4,276 - $8,548 1754%
Prime Health $4,664 - $9,325 1913%
First Health $4,898 - $11,174 2009%
Coastal Comp Health Networks $5,053 - $10,102 2073%
National Health Care $5,053 - $10,102 2073%
Texas Municipal League $5,442 - $10,879 2232%
Medcorp Southwest $5,830 - $11,656 2392%
Preferred Health Arrangement $5,830 - $11,656 2392%
Rockport Healthcare Group $6,219 - $13,987 2551%
Bce Emergis Corporation $6,997 - $13,987 2870%
Beech Street $6,997 - $13,987 2870%
Medical Control Network Solutions $6,997 - $13,987 2870%
Multiplan $6,997 - $13,987 2870%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Round Rock Ave, Round Rock, TX 78681
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals