CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Cook Childrens Medical Center Prosper

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,107
Cash Discount Price: $2,244
vs. Medicare Baseline: 4.54x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Cook Childrens Medical Center Prosper is $1,107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,244. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.54x the Medicare baseline. Located in 4100 W University Drive, Prosper, TX.

Cash / Self-Pay

$2,244

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,107

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: $2,244 (921%)

Insurance Median: $1,107 (454%)

Cash: $2,244 (921% of Medicare)

Ins. Median: $1,107 (454% 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 454% of the Medicare baseline (a markup of 354%). 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	$247 - $2,543	101%
Beacon	$294 - $1,616	121%
El Paso Health First	$294 - $1,616	121%
Health Plan W. Uhrip	$294	121%
Health Plan W/O Uhrip	$294 - $1,616	121%
Tx Children Health	$294 - $1,616	121%
Wellpoint	$309	127%
Blue Cross Blue Shield	$318 - $2,693	130%
Superior Health	$318	130%
Firstcare	$324 - $2,394	133%
United Community	$324 - $1,107	133%
UnitedHealthcare	$1,317 - $2,543	540%
S&W Health	$2,513	1031%
Cigna	$2,543	1043%
Healthscope	$2,543	1043%
Imagine Health	$2,543	1043%
Humana	$2,603 - $2,633	1068%
Multiplan	$2,603	1068%
First Health	$2,633	1080%
Galaxy Health	$2,693	1105%
Healthsmart	$2,693	1105%
Usamco	$2,753	1129%

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 $2,244.
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 Cook Childrens Medical Center Prosper 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.