CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Seton Medical Center Harker Heights

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,009
Cash Discount Price: $429
vs. Medicare Baseline: 8.24x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Seton Medical Center Harker Heights is $2,009. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $429. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.24x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.

Cash / Self-Pay

$429

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,009

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: $429 (176%)

Insurance Median: $2,009 (824%)

Cash: $429 (176% of Medicare)

Ins. Median: $2,009 (824% 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 824% of the Medicare baseline (a markup of 724%). 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
Healthscope Benefits [2290]	$618 - $927	254%
UnitedHealthcare	$618 - $2,009	254%
Aetna	$635 - $2,957	260%
Healthcare Highways [2210]	$1,339 - $2,009	549%
Medicaid / KanCare	$1,339 - $5,522	549%
Oncology Patient Assistance Programs [2295]	$1,339 - $2,009	549%
Selecthealth [3740]	$1,339 - $2,009	549%
Web Tpa [2115]	$1,339 - $4,121	549%
Humana	$2,247 - $3,371	922%
Blue Cross Blue Shield	$2,541 - $3,812	1042%
First Care Commercial [1371]	$2,576 - $3,863	1057%
Allied Benefit Systems Inc [1030]	$2,747 - $4,121	1127%
Cigna	$2,974 - $4,461	1220%

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 $429.
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 Seton Medical Center Harker Heights 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.