CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Texas Health Presbyterian Hospital Rockwall

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$265

about 1.1× the $244 Medicare rate · typically $248–$612

modeled estimate · not a bill or quote

What this hospital charges insurers

$264

About the fair price

about $1 under the fair price · 1.1× Medicare

Medicare pays $244 Fair price $265 This hospital $264 Cash price $3,265 Hospital's list price $5,442

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $63 Priciest $264

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $265 (about 1.1× the $244 Medicare rate). Texas Health Presbyterian Hospital Rockwall charges insurers about $264, or about $3,265 in cash — about the fair price. Located in Rockwall, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$209 - $1,933	86%
Blue Cross Blue Shieldmajor	$209 - $1,652	86%
Aetnamajor	$1,200 - $3,814	492%
Cignamajor	$1,973 - $5,120	809%
Humanamajor	$249	102%
Amerigroup	$209 - $252	86%
Cigna HealthSpring	$244	100%
Molina	$226 - $252	93%
WellCare	$219 - $264	90%
+ 6 smaller / regional plans	$209 - $4,789

Excludes 4 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 3,265), 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 Texas Health Presbyterian Hospital Rockwall 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 Texas Health Presbyterian Hospital Rockwall

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

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