CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Santa Clara Valley Medical Center

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$300
about 1.2× the $244 Medicare rate · typically $205–$724
modeled estimate · not a bill or quote
What this hospital charges insurers
$248
Below the fair price — a good deal
about $52 under the fair price · 1.0× Medicare
Medicare pays $244 Fair price $300 This hospital $248 Cash price $564 Hospital's list price $806

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 $248

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 $300 (about 1.2× the $244 Medicare rate). Santa Clara Valley Medical Center charges insurers about $248, or about $564 in cash — below the fair price — a good deal. Located in San Jose, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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
UnitedHealthcaremajor $89 37%
Blue Cross Blue Shieldmajor $783 321%
Aetnamajor $570 - $594 234%
Cignamajor $403 165%
Health Net $74 30%
+ 2 smaller / regional plans $74 - $672
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 751 South Bascom Avenue, San Jose, CA 95128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals