CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Comanche County Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $270
Cash Discount Price: $357
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Comanche County Medical Center is $270. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $357. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.11x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.

Cash / Self-Pay

$357

Average discount available for prompt cash payment at this facility.

Insurance Median

$270

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: $357 (146%)

Insurance Median: $270 (111%)

Cash: $357 (146% of Medicare)

Ins. Median: $270 (111% 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.

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
Swhp Comm - All Other Plans	$56 - $700	23%
Blue Cross Blue Shield	$58 - $542	24%
Choicecare Comm - All Other Plans	$62 - $329	25%
Choicecare Mcr Adv	$62 - $329	25%
Humana	$62 - $622	25%
Molina Mcr Adv - All Other Plans	$62 - $329	25%
Pphp Mcr Adv - All Plans	$62 - $329	25%
Superior Epo/Hmo - All Plans	$62 - $329	25%
Swhp Mcr Adv	$62 - $329	25%
Wellmed Mcr Adv - All Plans	$62 - $329	25%
Aetna	$65 - $559	27%
First Care Hmo - All Other Plans	$65 - $600	27%
First Care Hmo Self Funded	$65 - $600	27%
Occunet - All Plans	$80 - $666	33%
Alliance Wc - All Plans	$93 - $493	38%
Cigna	$137 - $577	56%
Molina Mcaid	$211 - $559	87%
Swhp Mcaid	$211 - $559	87%
Mpi - All Plans	$799	328%

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 $357.
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 Comanche County Medical Center 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.