CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Childrens Medical Ctr of Dallas

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $3,570
Cash Discount Price: $3,825
vs. Medicare Baseline: 14.64x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Childrens Medical Ctr of Dallas is $3,570. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,825. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.64x the Medicare baseline. Located in 1935 Medical District Drive, Dallas, TX.

Cash / Self-Pay

$3,825

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,570

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: $3,825 (1569%)

Insurance Median: $3,570 (1464%)

Cash: $3,825 (1569% of Medicare)

Ins. Median: $3,570 (1464% 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 1464% of the Medicare baseline (a markup of 1364%). 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
Aetna	$171 - $3,570	70%
Humana	$171 - $3,825	70%
Medicaid / KanCare	$171	70%
Oklahoma Complete Health	$171	70%
Superior Health Plan	$219	90%
Firstcare Health	$1,224	502%
Methodist	$1,572 - $2,904	645%
Molina Healthcare	$1,632	669%
Parkland Community	$1,683	690%
Texas Children'S Health Plan	$1,683	690%
Wellpoint	$1,683	690%
Cigna	$1,700 - $3,519	697%
Cookchildren'S Health Plan	$1,734	711%
UnitedHealthcare	$1,850 - $3,825	759%
Carelon	$1,887 - $2,499	774%
Blue Cross Blue Shield	$1,950 - $3,468	800%
Employers Health Network	$3,570	1464%
Imagine Health	$3,570	1464%
Scott & White	$3,621	1485%
Txp Emerging Therapy Solutions	$3,621	1485%
Healthsmart	$3,723 - $4,335	1527%
Healthscope Benefit Solutions	$3,825	1569%
Phcs	$3,825	1569%
Quiktrip (Qt)	$3,825	1569%
Txp Interlink	$3,825	1569%
Coventry Health	$4,080	1674%
Equifax Healthcare	$4,335	1778%
Multiplan	$4,335	1778%
Usa Managed Care	$4,743	1946%
Galaxy Health	$4,947	2029%

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 $3,825.
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 Childrens Medical Ctr of Dallas 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.