CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Ward Memorial Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,625
Cash Discount Price: $2,754
vs. Medicare Baseline: 10.77x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Ward Memorial Hospital is $2,625. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,754. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.77x the Medicare baseline. Located in 406 South Gary St, Monahans, TX.

Cash / Self-Pay

$2,754

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,625

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: $2,754 (1130%)

Insurance Median: $2,625 (1077%)

Cash: $2,754 (1130% of Medicare)

Ins. Median: $2,625 (1077% 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 1077% of the Medicare baseline (a markup of 977%). 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
Blue Cross Blue Shield	$713 - $2,883	292%
Firstcare	$713 - $798	292%
Medicare (plans)	$713 - $782	292%
Superior Healthplan	$713 - $782	292%
Cigna	$2,190 - $2,405	898%
Corecare	$2,625 - $2,883	1077%
Texas True Choice	$2,813 - $3,089	1154%
Unicare	$3,000 - $3,294	1231%
Galaxy Health Network	$3,375 - $3,706	1385%
Multiplan	$3,375 - $3,706	1385%
Usa Health Network	$3,375 - $3,706	1385%
Usc Health Services	$3,375 - $3,706	1385%
Aetna	$3,713 - $4,077	1523%

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 $2,754.
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 Ward Memorial Hospital 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.