CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Houston Healthcare Kingwood

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $3,632
  • Cash Discount Price: $19,634
  • vs. Medicare Baseline: 14.90x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Houston Healthcare Kingwood is $3,632. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,634. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.90x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
$19,634

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,632

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: $19,634 (8054%)
Insurance Median: $3,632 (1490%)
Cash: $19,634 (8054% of Medicare)
Ins. Median: $3,632 (1490% 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 1490% of the Medicare baseline (a markup of 1390%). 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 - $5,472 86%
Community Health Choice Mcd $211 87%
United $215 - $14,833 88%
Aetna $228 - $2,168 94%
Molina Healthcare $230 94%
Humana $261 - $2,974 107%
Blue Cross Blue Shield $506 - $11,537 208%
Superior Health Plan $1,178 - $1,978 483%
Cigna $1,740 - $2,241 714%
Christus (Usfhp) $7,853 - $13,185 3221%
Healthsmart Preferred Care $8,442 - $28,019 3463%
Fidelis Securecare Of Tx $8,835 - $14,833 3624%
Coventry National First Health $10,465 - $17,569 4293%
Physicians Cooperative Of Texas $10,798 - $18,130 4430%
Rockport Workers Comp $10,798 - $18,130 4430%
Independent Medical System $11,780 - $19,778 4832%
National Healthcare Solutions $11,780 - $19,778 4832%
Southwest Medical $11,780 - $19,778 4832%
Coastal Comp $12,762 - $21,426 5235%
Multiplan $14,725 - $28,019 6041%
Physicians, Inc $16,689 - $28,019 6846%
Usa Managed Care $16,689 - $28,019 6846%
Affiliated Ppo $17,670 - $29,667 7249%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22999 Us Hwy 59, Kingwood, TX 77325
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals