CMS Price Transparency Data

MRI, knee or other leg joint

Facility: El Centro Regional Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,973
Cash Discount Price: $2,913
vs. Medicare Baseline: 8.09x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at El Centro Regional Medical Center is $1,973. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,913. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.09x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.

Cash / Self-Pay

$2,913

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,973

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $2,913 (1195%)

Insurance Median: $1,973 (809%)

Cash: $2,913 (1195% of Medicare)

Ins. Median: $1,973 (809% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 809% of the Medicare baseline (a markup of 709%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$306 - $4,161	126%
Brand New Day Comm - All Other Plans	$306	126%
Brand New Day Mcr	$306	126%
Healthnet Mcr Adv	$306	126%
Molina Mcr Adv	$306	126%
Scp Managed Care - All Plans	$306	126%
Tricare	$306	126%
UnitedHealthcare	$306 - $2,055	126%
Easy Choice Mcr Adv-All Plans	$337	138%
Healthnet Hmo	$383	157%
Cdcr Correctional-All Plans	$398	163%
Blue Shield-All Plans	$1,081	443%
Aetna	$1,831	751%
Pacificare-All Plans	$1,890	775%
Mulitplan Primary - All Other Plans	$2,829	1161%
Cigna	$3,121	1280%
Multiplan Comp	$3,329	1366%
Trident - All Plans	$3,537	1451%
Healthnet Comm-All Other Plans	$3,745	1536%
Humana	$3,870	1588%
Ahccs/Medi-Cal Misc - All Plans	$4,161	1707%
Brand New Day Mcal	$4,161	1707%
Medi-Cal	$4,161	1707%
Molina Exchange - All Other Plans	$4,161	1707%
Ambetter / Centene	$4,286	1758%
Molina Mcal	$4,577	1878%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,913.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

Insurance In-Network Protection Plan

Contact your insurance company to confirm El Centro Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73721.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.