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.
Original text from hospital filings
MRI LW JNT W/O CONT LT
DALLAS, TX
See all hospitals reporting CPT 73721 →Price type
Med City Spine Hospital’s median price of $1.9k is 198% above the median hospital's median price ($638), higher than 80% of the 2,533 hospitals reporting CPT 73721. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 43 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 | UnitedHealthcare chip fee schedule · outpatient | $208.84 | $208.84 | $208.84 – $208.84 |
| 2 | UnitedHealthcare star fee schedule · outpatient | $208.84 | $208.84 | $208.84 – $208.84 |
| 3 | UnitedHealthcare starkids fee schedule · outpatient | $208.84 | $208.84 | $208.84 – $208.84 |
| 4 | UnitedHealthcare starperinate fee schedule · outpatient | $208.84 | $208.84 | $208.84 – $208.84 |
| 5 | UnitedHealthcare starplus fee schedule · outpatient | $208.84 | $208.84 | $208.84 – $208.84 |
| 6 | Cigna Healthspring mgmcd fee schedule · outpatient | $219.28 | $219.28 | $219.28 – $219.28 |
| 7 | Aetna Better Health chip fee schedule · outpatient | $225.55 | $225.55 | $225.55 – $225.55 |
| 8 | Aetna Better Health mcd fee schedule · outpatient | $225.55 | $225.55 | $225.55 – $225.55 |
| 9 | Molina chip fee schedule · outpatient | $231.81 | $231.81 | $229.72 – $233.90 |
| 10 | Molina mcdstar fee schedule · outpatient | $231.81 | $231.81 | $229.72 – $233.90 |
| 11 | Molina star+plus fee schedule · outpatient | $231.81 | $231.81 | $229.72 – $233.90 |
| 12 | Molina starkids fee schedule · outpatient | $231.81 | $231.81 | $229.72 – $233.90 |
| 13 | Humana mgmcd fee schedule · outpatient | $261.05 | $261.05 | $261.05 – $261.05 |
| 14 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $281.98 | $281.98 | $281.98 – $281.98 |
| 15 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $293.63 | $293.63 | $293.63 – $293.63 |
| 16 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $293.63 | $293.63 | $293.63 – $293.63 |
| 17 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $313.62 | $313.62 | $313.62 – $313.62 |
| 18 | UnitedHealthcare smallgroup fee schedule · outpatient | $313.62 | $313.62 | $313.62 – $313.62 |
| 19 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $380.32 | $507.12 | $380.32 – $760.73 |
| 20 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $380.32 | $507.12 | $380.32 – $760.73 |
| 21 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $380.32 | $507.12 | $380.32 – $760.73 |
| 22 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $380.32 | $507.12 | $380.32 – $760.73 |
| 23 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $380.32 | $507.12 | $380.32 – $760.73 |
| 24 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $517.79 | $517.79 | $517.79 – $517.79 |
| 25 | Humana comm fee schedule · outpatient | $681.84 | $681.84 | $681.84 – $681.84 |
Last updated: Mar 1, 2026
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