CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Adventist Health St Helena

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$292
about 1.2× the $244 Medicare rate · typically $281–$1,639
modeled estimate · not a bill or quote
What this hospital charges insurers
$293
About the fair price
about $1 over the fair price · 1.2× Medicare
Medicare pays $244 Fair price $292 This hospital $293 Cash price $863 Hospital's list price $5,754

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $63 Priciest $293

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

A fair price for a MRI, knee or other leg joint is about $292 (about 1.2× the $244 Medicare rate). Adventist Health St Helena charges insurers about $293, or about $863 in cash — about the fair price. Located in Saint Helena, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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
UnitedHealthcaremajor $293 - $7,703 120%
Blue Cross Blue Shieldmajor $70 - $5,691 29%
Aetnamajor $487 - $2,030 200%
Cignamajor $35 - $9,666 14%
Kaiser Permanentemajor $70 - $9,908 29%
Health Net $1,725 708%
+ 5 smaller / regional plans $77 - $10,271
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 10 Woodland Road, Saint Helena, CA 94574
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals