CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Texas Health Presbyterian Hospital Allen

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,626
Cash Discount Price: $3,265
vs. Medicare Baseline: 6.67x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Texas Health Presbyterian Hospital Allen is $1,626. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,265. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.67x the Medicare baseline. Located in 1105 Central Expressway North, Allen, TX.

Cash / Self-Pay

$3,265

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,626

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: $3,265 (1339%)

Insurance Median: $1,626 (667%)

Cash: $3,265 (1339% of Medicare)

Ins. Median: $1,626 (667% 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 667% of the Medicare baseline (a markup of 567%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $252	86%
Blue Cross Blue Shield	$209 - $1,652	86%
Parkland	$209	86%
UnitedHealthcare	$209 - $1,933	86%
Superior Wellcare	$219 - $264	90%
Molina	$226 - $252	93%
American Health	$240	98%
Healthspring	$244	100%
Humana	$249	102%
Fort Worth Firefighters	$1,105 - $3,322	453%
Aetna	$1,200 - $3,814	492%
Cigna	$1,973 - $5,120	809%
City Of Fort Worth	$2,558	1049%
Quick Trip	$3,863	1585%
Healthsmart	$4,081 - $4,571	1674%
Phcs	$4,549	1866%
Multiplan	$4,734	1942%
Galaxy	$4,789	1965%
Usa	$4,789	1965%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,265.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Texas Health Presbyterian Hospital Allen is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73721.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.