CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Texas Scottish Rite Hospital for Children

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $224
Cash Discount Price: $1,858
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Texas Scottish Rite Hospital for Children is $224. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,858. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.92x the Medicare baseline. Located in 2222 Welborn Street, Dallas, TX.

Cash / Self-Pay

$1,858

Average discount available for prompt cash payment at this facility.

Insurance Median

$224

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: $1,858 (762%)

Insurance Median: $224 (92%)

Cash: $1,858 (762% of Medicare)

Ins. Median: $224 (92% 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
Aetna	$52 - $1,588	21%
Tricare	$66 - $234	27%
Blue Cross Blue Shield	$78 - $1,541	32%
Cigna	$115 - $2,627	47%
Firstcare Health Comm - All Other Plans	$149 - $2,452	61%
Healthscope - All Plans	$160 - $2,627	66%
Scott & White Comm- All Other Plans	$160 - $2,627	66%
UnitedHealthcare	$160 - $2,277	66%
Children Med Center Health Plan - All Plans	$213 - $1,541	87%
Community First Health Plan-All Plans	$213 - $1,541	87%
Cook Childrens Hp-All Plans	$213 - $1,541	87%
Driscoll Childrens-All Plans	$213 - $1,541	87%
Medicaid / KanCare	$213 - $1,541	87%
Molina Commercial - All Other Plans	$213 - $1,541	87%
Soonercare-All Plans	$213 - $1,541	87%
Firstcare Health Mcaid	$224 - $1,618	92%
Tx Childrens Hlth Mcaid-All Plans	$224 - $1,618	92%

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 $1,858.
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 Texas Scottish Rite Hospital for Children 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.