CMS Price Transparency Data

MRI, knee or other leg joint

Facility: PAM Health Rehabilitation Hospital of Sugar Land LLC

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$260

about 1.1× the $244 Medicare rate · typically $193–$960

modeled estimate · not a bill or quote

What this hospital charges insurers

$211

Below the fair price — a good deal

about $49 under the fair price · 0.9× Medicare

Medicare pays $244 Fair price $260 This hospital $211

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

A typical price — 0 charge more and 5 charge less, among the 9 TX hospitals compared.

Cheapest $63 Priciest $211

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

A fair price for a MRI, knee or other leg joint is about $260 (about 1.1× the $244 Medicare rate). PAM Health Rehabilitation Hospital of Sugar Land LLC charges insurers about $211 — below the fair price — a good deal. Located in Sugar Land, TX.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor	$211	87%

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, 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 PAM Health Rehabilitation Hospital of Sugar Land LLC 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 PAM Health Rehabilitation Hospital of Sugar Land LLC

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

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