CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Methodist Rehabilitation Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $5,337
  • Cash Discount Price: $5,337
  • vs. Medicare Baseline: 21.89x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Methodist Rehabilitation Hospital is $5,337. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,337. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 21.89x the Medicare baseline. Located in 3020 West Wheatland Road, Dallas, TX.
Cash / Self-Pay
$5,337

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,337

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: $5,337 (2189%)
Insurance Median: $5,337 (2189%)
Cash: $5,337 (2189% of Medicare)
Ins. Median: $5,337 (2189% 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 2189% of the Medicare baseline (a markup of 2089%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Humana $4,003 - $5,337 1642%
Group And Pension Administrators (Under Multiplan) (Primary) $4,110 1686%
Multiplan (Pchs) $4,110 1686%
Multiplan $4,483 1839%
Aetna $5,337 2189%
Ambetter / Centene $5,337 2189%
Amerigroup $5,337 2189%
Blue Cross Blue Shield $5,337 2189%
Cigna $5,337 2189%
Friday Health Commercial (Ppo & Epo) $5,337 2189%
Healthcare Highways $5,337 2189%
Healthscope $5,337 2189%
Medicare (plans) $5,337 2189%
Molina Exchange $5,337 2189%
Oscar Healthcare $5,337 2189%
Scott & White Health Plan $5,337 2189%
Southwestern Health Resources (Paid Under United Hc) $5,337 2189%
Superior $5,337 2189%
Texas Plus (Universal American)(Includes Wellcare - Merged With Texan Plus Eff 1/1/19) $5,337 2189%
UnitedHealthcare $5,337 2189%
Wellmed $5,337 2189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3020 West Wheatland Road, Dallas, TX 75237
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL