MRI of lower extremity joint without contrast at Ascension Seton

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MR LW EXT WO J R LTD

Smithville, TX

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Pricing by billing methodology

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How this price compares nationally

Ascension Seton’s median price of $225 is 65% below the median hospital's median price ($638), higher than 5% of the 2,533 hospitals reporting CPT 73721. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73721 at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 57 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$210.84	$210.84	$210.84 – $210.84
2	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$210.84	$210.84	$210.84 – $210.84
3	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$210.84	$210.84	$210.84 – $210.84
4	Blue Cross Blue Shield 4174_blue cross chip (smv) outpatient 20241201 fee schedule · outpatient	$210.84	$210.84	$210.84 – $210.84
5	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$210.84	$210.84	$210.84 – $210.84
6	Blue Cross Blue Shield 5015_blue cross star kids (smv) outpatient 20241201 fee schedule · outpatient	$210.84	$210.84	$210.84 – $210.84
7	UnitedHealthcare 4259_chirp uhc star (smv) outpatient 20241201 fee schedule · outpatient	$210.84	$210.84	$210.84 – $210.84
8	UnitedHealthcare 4270_chirp uhc star plus (smv) outpatient 20241201 fee schedule · outpatient	$210.84	$210.84	$210.84 – $210.84
9	UnitedHealthcare 4317_uhc star kids (smv) outpatient 20241201 fee schedule · outpatient	$210.84	$210.84	$210.84 – $210.84
10	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both	$223.54	$223.54	$223.54 – $223.54
11	Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both	$223.54	$223.54	$223.54 – $223.54
12	Blue Cross Blue Shield 4174_blue cross chip/star kids (smv) outpatient 20241201 fee schedule · both	$223.54	$223.54	$223.54 – $223.54
13	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both	$223.54	$223.54	$223.54 – $223.54
14	Blue Cross Blue Shield 4225_chirp blue cross star (smv) outpatient 20241201 fee schedule · both	$223.54	$223.54	$223.54 – $223.54
15	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both	$223.54	$223.54	$223.54 – $223.54
16	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both	$223.54	$223.54	$223.54 – $223.54
17	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both	$223.54	$223.54	$223.54 – $223.54
18	Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both	$224.88	$224.88	$224.88 – $224.88
19	Blue Cross Blue Shield 3600_blue cross chip/star kids (smv) inpatient 20240901 fee schedule · both	$224.88	$224.88	$224.88 – $224.88
20	Blue Cross Blue Shield 3699_chirp blue cross star (smv) inpatient 20240901 fee schedule · both	$224.88	$224.88	$224.88 – $224.88
21	UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both	$224.88	$224.88	$224.88 – $224.88
22	UnitedHealthcare 3743_chirp uhc star (smv) inpatient 20240901 fee schedule · both	$224.88	$224.88	$224.88 – $224.88
23	UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both	$224.88	$224.88	$224.88 – $224.88
24	UnitedHealthcare 3754_chirp uhc star plus (smv) inpatient 20240901 fee schedule · both	$224.88	$224.88	$224.88 – $224.88
25	UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both	$224.88	$224.88	$224.88 – $224.88

Page 1 of 3 · 57 rates

Last updated: Jan 1, 2026

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