CMS Price Transparency Data

MRI, knee or other leg joint

Facility: El Paso Children's Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$220

about 0.9× the $244 Medicare rate · typically $196–$426

modeled estimate · not a bill or quote

What this hospital charges insurers

$209

About the fair price

about $11 under the fair price · 0.9× Medicare

Medicare pays $244 Fair price $220 This hospital $209 Cash price $298 Hospital's list price $1,488

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

A typical price — 4 charge more and 4 charge less, among the 9 TX hospitals compared.

Cheapest $63 Priciest $211

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a MRI, knee or other leg joint is about $220 (about 0.9× the $244 Medicare rate). El Paso Children's Hospital charges insurers about $209, or about $298 in cash — about the fair price. Located in El Paso, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$698 - $1,438	286%
Blue Cross Blue Shieldmajor	$199 - $1,502	82%
Aetnamajor	$700 - $1,602	287%
Cignamajor	$763 - $1,572	313%
Amerigroup	$209	86%
Health Net	$193	79%
Molina	$230 - $909	94%
+ 5 smaller / regional plans	$179 - $1,062

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 298), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm El Paso Children's Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at El Paso Children's Hospital

Compare: MRI, knee or other leg joint at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.