CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Baylor Scott & White Medical Center - Round Rock

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,389
Cash Discount Price: $2,090
vs. Medicare Baseline: 5.70x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Baylor Scott & White Medical Center - Round Rock is $1,389. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,090. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.70x the Medicare baseline. Located in 300 University Blvd, Round Rock, TX.

Cash / Self-Pay

$2,090

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,389

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: $2,090 (857%)

Insurance Median: $1,389 (570%)

Cash: $2,090 (857% of Medicare)

Ins. Median: $1,389 (570% 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 570% of the Medicare baseline (a markup of 470%). 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
Baylor Scott & White Health Plan	$208 - $1,855	85%
Superior Health Plan	$211 - $219	87%
Humana	$219 - $2,439	90%
Triwest	$219	90%
Aetna	$230 - $1,916	94%
American Health Plan	$230	94%
Blue Cross Blue Shield	$230 - $1,114	94%
Corvel	$230	94%
Healthspring	$230	94%
Prime Health Services	$230	94%
Procare Advantage	$230	94%
UnitedHealthcare	$252 - $2,400	103%
Injury Management Organization	$272	112%
Careworks Fka Rockport	$328	135%
Sedgwick	$328	135%
Cigna	$1,711 - $2,013	702%
Midcoast	$1,916	786%
Quiktrip	$1,916	786%
University Of Mary Hardin-Baylor	$2,014	826%
Independent Medical System	$2,090	857%
Curative	$2,264	929%
First Health	$2,439	1001%
Healthsmart	$2,439 - $2,613	1001%
Bluebell Creameries	$2,613	1072%
Private Health Care System	$2,613	1072%
Three Rivers	$3,135	1286%

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 $2,090.
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 Baylor Scott & White Medical Center - Round Rock 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.