CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Ascension Seton Northwest

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $234
  • Cash Discount Price: $728
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Ascension Seton Northwest is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $728. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.96x the Medicare baseline. Located in 11113 Research Boulevard, Austin, TX.
Cash / Self-Pay
$728

Average discount available for prompt cash payment at this facility.

Insurance Median
$234

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: $728 (299%)
Insurance Median: $234 (96%)
Cash: $728 (299% of Medicare)
Ins. Median: $234 (96% 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.

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
Champva $176 - $230 72%
Ambetter / Centene $211 - $422 87%
Blue Cross Blue Shield $211 - $1,042 87%
Wellpoint Chip/Chip Perinate $211 - $224 87%
Wellpoint Star Kids $211 87%
Wellpoint Star Plus $211 - $225 87%
Dell Chip/Chip Perinate $224 - $225 92%
Dell Star $224 - $225 92%
UnitedHealthcare $224 - $239 92%
Wellpoint Star $224 - $225 92%
Aarp Mc Wellmed $230 94%
Sendero Chap $232 95%
Addr Cancer Together $234 96%
Aetna $234 - $1,976 96%
Covid Hrsa $234 96%
Cshcn Cidc $234 96%
Devoted Health Mcr Replacement $234 96%
Humana $234 - $282 96%
Medicare (plans) $234 96%
Research Study $234 96%
Smarthealth $234 96%
Superior Allwell $234 96%
Tricare $234 - $264 96%
Wellcare Med Advantage $234 96%
Connected Senior Care $241 99%
Pphp Mcr Advantage $246 101%
Tx Independence Hp $246 101%
Occunet $328 135%
Sendero Idealcare $410 168%
Seton Performance Plus $755 310%
Superior Star $809 332%
Superior Star Foster $809 332%
Superior Star Kids $809 332%
Superior Star Plus $809 332%
Superior Chip/Chip Perinate $910 373%
Covenant Health $1,536 630%
Cigna $1,750 718%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11113 Research Boulevard, Austin, TX 78759
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals