CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Saint Agnes Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $63
  • Cash Discount Price: $280
  • vs. Medicare Baseline: 0.26x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Saint Agnes Medical Center is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $280. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.26x the Medicare baseline. Located in 1303 E Herndon Ave, Fresno, CA.
Cash / Self-Pay
$280

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $280 (115%)
Insurance Median: $63 (26%)
Cash: $280 (115% of Medicare)
Ins. Median: $63 (26% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Medicaid / KanCare $40 - $280 16%
Aetna $53 - $3,463 22%
Albany County Correctional Facility $53 - $80 22%
Ambetter / Centene $53 - $80 22%
Amish Mennonite $53 - $80 22%
Andrie Inc $53 - $80 22%
Ascension St. Vincent Public Safety Medical $53 - $80 22%
Bcccp-Michigan $53 - $80 22%
Bccp $53 - $80 22%
Blue Cross Blue Shield $53 - $2,409 22%
Bmc Healthnet $53 - $80 22%
Breast Grant-Connecticut $53 - $80 22%
Broward County Dept Of Health $53 - $80 22%
California Health And Wellness $53 - $80 22%
Can Community Health Inc $53 - $80 22%
Cardinal Innovations Lme $53 - $80 22%
Care Connections Of Northern Iowa $53 - $80 22%
Care Oregon Ohp $53 - $80 22%
Cencal Health Plan $53 - $80 22%
Cenpatico $53 - $80 22%
Chhuny $53 - $80 22%
Childrens Comm Health Plan $53 - $80 22%
Childrens Medical Services Title 19 $53 - $80 22%
Cigna $53 - $4,103 22%
City Of Philadelphia $53 - $80 22%
Cmh Allegan County $53 - $80 22%
Cmh Ausable Valley $53 - $80 22%
Cmh Barry County $53 - $80 22%
Cmh Bay-Arenac County $53 - $80 22%
Cmh Berrien County $53 - $80 22%
Cmh Cass County $53 - $80 22%
Cmh Central Mi County $53 - $80 22%
Cmh Clinton-Eaton-Ingham County $53 - $80 22%
Cmh Detroit Wayne Integrated Health Network $53 - $80 22%
Cmh Genesee County $53 - $80 22%
Cmh Ionia County $53 - $80 22%
Cmh Jackson County/Lifeways $53 - $80 22%
Cmh Kalamazoo $53 - $80 22%
Cmh Kent County $53 - $80 22%
Cmh Lenawee County $53 - $80 22%
Cmh Livingston County $53 - $80 22%
Cmh Macomb $53 - $80 22%
Cmh Misc $53 - $80 22%
Cmh Monroe County $53 - $80 22%
Cmh Montcalm County $53 - $80 22%
Cmh Muskegon County $53 - $80 22%
Cmh Newaygo County $53 - $80 22%
Cmh North Country $53 - $80 22%
Cmh Northern Lakes County $53 - $80 22%
Cmh Oakland County $53 - $80 22%
Cmh Ottawa County $53 - $80 22%
Cmh Van Buren County $53 - $80 22%
Cmh Washtenaw County $53 - $80 22%
Cmh Wayne County/Carelink $53 - $80 22%
Cmh Wayne Cty/Com Liv Svcs $53 - $80 22%
Cmh West Mi County $53 - $80 22%
Community Benefit Health $53 - $80 22%
Community Care Behavorial Health $53 - $80 22%
Community Care Partners $53 - $80 22%
Community Health Choice $53 - $80 22%
Connections Csp $53 - $80 22%
County Coroner $53 - $80 22%
County Funding Generic $53 - $80 22%
Covid19 Hrsa Uninsured Testing And Treatment Fund $53 - $80 22%
Dean Wi Badgercare $53 - $80 22%
Delaware County Department Of Health $53 - $80 22%
Delaware First Health $53 - $80 22%
Delta Dental Nj $53 - $80 22%
Dph Tb Program $53 - $80 22%
Dscc $53 - $80 22%
East Greenbush Central School District $53 - $80 22%
Eastpointe Lme $53 - $80 22%
Family Health Network $53 - $80 22%
Freedom First Healthcare $53 - $80 22%
Fresno County Ccs $53 - $80 22%
Genex Wc $53 - $80 22%
Ghc Scw Wi Badgercare $53 - $80 22%
Harbor Health $53 - $80 22%
Health Safety Net $53 - $80 22%
Healthsmart Workers Comp $53 - $80 22%
Healthy Blue Ne $53 - $80 22%
Hennepin Health $53 - $80 22%
Humana $53 - $316 22%
Id County Ada $53 - $80 22%
Id County Canyon $53 - $80 22%
Id County Cat Fund $53 - $80 22%
Id County Other $53 - $80 22%
Id County Payette $53 - $80 22%
Idaho Dept Health And Wellfare $53 - $80 22%
Idaho Womens Health Check $53 - $80 22%
Indiana Breast Cervical Cancer $53 - $80 22%
Inland Empire Health Plan $53 - $80 22%
Intercommunity Health Ohp $53 - $80 22%
Iowa Total Care $53 - $80 22%
Jag Source $53 - $80 22%
Jai Medical System $53 - $80 22%
Kern Family Health Plan $53 - $80 22%
Keystone First $53 - $80 22%
Keystone First Chip $53 - $80 22%
La Care Health Plan $53 - $80 22%
Lakeland Care Inc $53 - $80 22%
Managed Health Services - Indiana $53 - $80 22%
Maryland Breast & Cervical Program $53 - $80 22%
Maryland Healthy Smiles - Scion Dental $53 - $80 22%
Maryland Physicians Care $53 - $80 22%
Massachusetts Behavioral Health Partnership $53 - $80 22%
Mdwise $53 - $80 22%
Medi-Cal $53 - $80 22%
Medi-Cal Healthnet $53 - $100 22%
Medstar Dc Healthy Family $53 - $80 22%
Medstar Md Health Choice $53 - $80 22%
Mo Home State Health Plan $53 - $80 22%
Molina Centennial Care $53 - $80 22%
Nascentia Health Options $53 - $80 22%
Nebraska Total Care $53 - $80 22%
New York Cancer Services Program $53 - $80 22%
New York State Insurance Fund $53 - $80 22%
Nextlevel Health $53 - $80 22%
Njm Insurance Group $53 - $80 22%
Oregon Screenwise $53 - $80 22%
Pace Of Southwest Michigan $53 - $126 22%
Paramount Advantage $53 - $80 22%
Parkland Community Health Plan $53 - $80 22%
Partners Behavioral Lme $53 - $80 22%
Peach State Healthplan $53 - $80 22%
Philadelphia County Funding $53 - $80 22%
Presbyterian Centennial Care $53 - $80 22%
Prestige Health Choice $53 - $80 22%
Priority Partners $53 - $80 22%
Robert F Sing Program $53 - $80 22%
Rx 340B Pass Along $53 - $80 22%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $53 - $80 22%
Rx Heatlhcomp $53 - $80 22%
Rx Medi-Cal $53 - $80 22%
Rx Meridian Rx $53 - $80 22%
Rx Restat $53 - $80 22%
Rx Saif Opdp Wc $53 - $80 22%
Rx Worker'S Comp $53 - $80 22%
Ryan White Florida Mssrp $53 - $80 22%
Sandhills Center Lme $53 - $80 22%
Screening For Life $53 - $80 22%
St Joseph County Hlth Dpt $53 - $80 22%
Stephenson Cty Health $53 - $80 22%
Sunshine State Health Plan $53 - $80 22%
Superior Health $53 - $80 22%
Tenncare $53 - $80 22%
Texas Children'S Health Plan $53 - $80 22%
Trillium Community Ohp $53 - $80 22%
Tufts Health Public Plans $53 - $80 22%
UnitedHealthcare $53 - $1,241 22%
Vaya Health Lme $53 - $80 22%
Washtenaw Health Plan $53 - $80 22%
Wc Accident Fund $53 - $80 22%
Wc Ace $53 - $80 22%
Wc Acs Federal Employees $53 - $80 22%
Wc Acuity $53 - $80 22%
Wc Advantage $53 - $80 22%
Wc Aegis $53 - $80 22%
Wc Aig $53 - $80 22%
Wc Aims $53 - $80 22%
Wc Alaska National Ins $53 - $80 22%
Wc Align Network $53 - $80 22%
Wc Allied $53 - $80 22%
Wc Am Trust N America $53 - $80 22%
Wc American Claims Mgmt $53 - $80 22%
Wc Amerisure $53 - $80 22%
Wc Amtrust $53 - $80 22%
Wc Asu Risk Mgt $53 - $80 22%
Wc Benetech $53 - $80 22%
Wc Berkley Admin $53 - $80 22%
Wc Broadspire $53 - $80 22%
Wc Broward County $53 - $80 22%
Wc Bunch & Associates $53 - $80 22%
Wc California State Comp Ins $53 - $80 22%
Wc California State Ins Fund $53 - $80 22%
Wc Capitol Area Health Consortium $53 - $80 22%
Wc Ccmsi $53 - $80 22%
Wc Chartis $53 - $80 22%
Wc Chubb $53 - $80 22%
Wc Cirma $53 - $80 22%
Wc City Of Albany $53 - $80 22%
Wc City Of Sioux City $53 - $80 22%
Wc Claims Mgmt Inc $53 - $80 22%
Wc Cna $53 - $80 22%
Wc Comp One Admin C/O Manageability $53 - $80 22%
Wc Compone Admin $53 - $80 22%
Wc Ct Healthcare Trust $53 - $80 22%
Wc Donegal Insurance Group $53 - $80 22%
Wc Emc Insurance Company $53 - $80 22%
Wc Employee Mutual $53 - $80 22%
Wc Enablecomp $53 - $80 22%
Wc Encore Health Network $53 - $80 22%
Wc Erie $53 - $80 22%
Wc Esis $53 - $80 22%
Wc Evolutions $53 - $80 22%
Wc Fcci $53 - $80 22%
Wc Fed Ex $53 - $80 22%
Wc Federal Black Lung $53 - $80 22%
Wc Federated $53 - $80 22%
Wc Finley Occupational Health $53 - $80 22%
Wc First Agency/Occunet $53 - $80 22%
Wc Ford Motor $53 - $80 22%
Wc Fresno Unified Emp $53 - $80 22%
Wc Gallagher Bassett $53 - $80 22%
Wc General Motors $53 - $80 22%
Wc Generic $53 - $80 22%
Wc Genex Care For Ohio $53 - $80 22%
Wc Great West Casualty $53 - $80 22%
Wc Guarantee Insurance $53 - $80 22%
Wc Guard Insurance Company $53 - $80 22%
Wc Hab $53 - $80 22%
Wc Hartford $53 - $80 22%
Wc Hastings $53 - $80 22%
Wc Health Management $53 - $80 22%
Wc Heritage Summit $53 - $80 22%
Wc Hireright $53 - $80 22%
Wc Horizon $53 - $80 22%
Wc Icw Group $53 - $80 22%
Wc Idaho State Ins Fund $53 - $80 22%
Wc Intercare Insurance $53 - $80 22%
Wc Intermountain $53 - $80 22%
Wc Johns Eastern $53 - $80 22%
Wc Kemberton $53 - $80 22%
Wc Key Ins & Benefit Solutions $53 - $80 22%
Wc Liberty Mutual $53 - $80 22%
Wc Mac Risk Management $53 - $80 22%
Wc Massachusetts $53 - $80 22%
Wc Mdia $53 - $80 22%
Wc Meadowbrook Claim $53 - $80 22%
Wc Medical Administrators $53 - $80 22%
Wc Meijers $53 - $80 22%
Wc Memic $53 - $80 22%
Wc Mercy Workcare $53 - $80 22%
Wc Michigan $53 - $80 22%
Wc Michigan Millers Mutual $53 - $80 22%
Wc Mitchell Frankenmuth $53 - $80 22%
Wc Mra $53 - $80 22%
Wc Nationwide $53 - $80 22%
Wc Nca Comp $53 - $80 22%
Wc New York $53 - $80 22%
Wc New York Special Funds $53 - $80 22%
Wc North American Rishces $53 - $80 22%
Wc Northeast Health $53 - $80 22%
Wc Notre Dame $53 - $80 22%
Wc Novanet $53 - $80 22%
Wc O'Hara Corp $53 - $80 22%
Wc Occ Health Allen $53 - $80 22%
Wc Ohio Bureau $53 - $80 22%
Wc One Call Medical $53 - $80 22%
Wc Paradigm $53 - $80 22%
Wc Peerless $53 - $80 22%
Wc Pma $53 - $80 22%
Wc Praxis Health Network $53 - $80 22%
Wc Price Chopper $53 - $80 22%
Wc Procura Management $53 - $80 22%
Wc Qualcare $53 - $80 22%
Wc Quiktrip $53 - $80 22%
Wc Reny Company $53 - $80 22%
Wc Rev Claims $53 - $80 22%
Wc Risico $53 - $80 22%
Wc Rural Mutual $53 - $80 22%
Wc Saif Oregon $53 - $80 22%
Wc Secura $53 - $80 22%
Wc Sedgwick $53 - $80 22%
Wc Sentry $53 - $80 22%
Wc Sheakley Unicomp $53 - $80 22%
Wc Smile Lodge $53 - $80 22%
Wc Society $53 - $80 22%
Wc Srs $53 - $80 22%
Wc Taconic (Mro) $53 - $80 22%
Wc Taconic Farms $53 - $80 22%
Wc Travelers $53 - $80 22%
Wc Triad Group $53 - $80 22%
Wc Tristar $53 - $80 22%
Wc Troy Ny $53 - $80 22%
Wc Tyson $53 - $80 22%
Wc Unified Health Services $53 - $80 22%
Wc United Heartland $53 - $80 22%
Wc Us Dept Of Labor $53 - $80 22%
Wc Velocity $53 - $80 22%
Wc Walmart $53 - $80 22%
Wc West Bend $53 - $80 22%
Wc West Bend Mutual/Argent $53 - $80 22%
Wc Winnebago Industries $53 - $80 22%
Wc Yankee Trails $53 - $80 22%
Wc York Risk $53 - $80 22%
Wc Zenith $53 - $80 22%
Wc Zurich $53 - $80 22%
Wellsense Health Plan $53 - $80 22%
Wi Womens Wellness $53 - $80 22%
Ally Align Care Adv $63 - $126 26%
American Health Advantage Of Idaho $63 - $126 26%
American Health Plan $63 - $126 26%
Aurora Special Needs $63 - $126 26%
Blue Care Network Advantage $63 - $126 26%
Blue Shield - De (Highmark) Medciare Advantage $63 - $126 26%
Care Dimensions $63 - $126 26%
Care Improvement Plus $63 - $126 26%
Care Resources Pace $63 - $126 26%
Careplus Health Plans $63 - $126 26%
Cca - Zing Health $63 - $126 26%
Cca Senior Care Options $63 - $126 26%
Central Valley Medical Services Corp Pace $63 - $126 26%
Champion Health Plan Mcr Advantage $63 - $126 26%
Champva $63 - $95 26%
Clear Spring Health $63 - $126 26%
Clover Health $63 - $126 26%
Commonwealth Care Alliance $63 - $126 26%
Community Pace At Home $63 - $126 26%
Eddy Senior Care-Pace $63 - $126 26%
Eddy Seniorcare Pace $63 - $126 26%
Elementcare $63 - $126 26%
Evercare $63 - $126 26%
Everence $63 - $126 26%
Gateway Health Plan $63 - $126 26%
Genesys Pace Of Genesee County $63 - $126 26%
Georgia Health Advantage $63 - $126 26%
Gold Advantage $63 - $126 26%
Gpa Croell Redi Mix $63 - $126 26%
Health America Advantra $63 - $126 26%
Highmark Health Options Dual Plan $63 - $126 26%
Hope Select Pace $63 - $126 26%
Horizon Nj Total Care $63 - $126 26%
Hudson Headwaters Pace $63 - $126 26%
Huron Valley Pace $63 - $126 26%
Innovative Integrated Health Community Plans $63 - $126 26%
Iowa Health Advantage $63 - $126 26%
Johns Hopkins Advantage Md $63 - $126 26%
Lasso Healthcare Msa $63 - $126 26%
Life St Marys Pace $63 - $126 26%
Lifecircles Pace $63 - $126 26%
Longevity Health Plan $63 - $126 26%
Longevity Ipa Of Michigan Llc Health Plan Isnp $63 - $126 26%
Martins Point Generations Advantage $63 - $126 26%
Mass General Brigham Mcr Adv $63 - $126 26%
Medicare (plans) $63 - $316 26%
Medipak Advantage $63 - $126 26%
Mercy Life $63 - $126 26%
Mercyone Cedar Valley $63 - $126 26%
Meridian Complete $63 - $126 26%
Michigan Complete Health $63 - $126 26%
Nascentia Health Plus $63 - $126 26%
New Centry Health Careplus $63 - $126 26%
Osu Prime Care Advantage $63 - $126 26%
Pace Cny $63 - $126 26%
Pace Iowa Immanuel Pathways $63 - $126 26%
Pace Southeast $63 - $126 26%
Pace-Trinity Health $63 - $126 26%
Peak Pace Solutions $63 - $126 26%
Perennial Advantage $63 - $126 26%
Preferred Care Partners $63 - $126 26%
Presbyterian Senior Plan $63 - $126 26%
Provider Partners Health Plan Of Illinois $63 - $126 26%
Provider Partners Health Plan Of Indiana $63 - $126 26%
Pruitthealth Premier $63 - $126 26%
Reliance Community Care Partners Care Resources Pace $63 - $126 26%
Rx Allwin $63 - $126 26%
Rx Grane Grnmedd $63 - $126 26%
Rx Retiree Rx Care $63 - $126 26%
Scan Health Plan Mcr Ipa Meritage Oon $63 - $126 26%
Secure Horizons Ma Pffs $63 - $126 26%
Serenity Pace $63 - $126 26%
Siouxland Pace $63 - $126 26%
Solis Health Plans $63 - $126 26%
Sunnyview-Pace Finance Dept $63 - $126 26%
Texan Plus $63 - $126 26%
The Health Plan $63 - $126 26%
Thome Pace $63 - $126 26%
Todays Options $63 - $126 26%
Tribute Health Plans $63 - $126 26%
Tricare $63 - $95 26%
Triwest Health Alliance $63 - $95 26%
Um Health Advantage $63 - $126 26%
Union Health Service $63 - $126 26%
Us Family Health Plan $63 - $95 26%
Veterans Eval Services $63 - $95 26%
Wellmed $63 - $126 26%
Veterans Administration $64 - $128 26%
Multiplan $65 - $4,470 27%
Phcs $65 - $4,470 27%
Welbe Health $66 - $316 27%
Advantek Central Usd $74 - $636 30%
Align Senior Care $74 - $353 30%
Correctcare Integrated Health $74 30%
Healthnet $75 - $4,332 31%
Blue Shield - Ca $77 - $2,409 32%
Coventry $77 - $3,662 32%
First Health $77 - $154 32%
Cba Network By Design $83 - $3,992 34%
Geha $99 - $1,241 41%
Bcn Domestic $102 - $153 42%
Blue Benefit Administrators Of Massachusetts $102 - $2,409 42%
Blue Care Network $102 - $2,409 42%
Blue Distinction Transplant $102 - $2,409 42%
Blue Shield - Id (Regence) $102 - $2,409 42%
Blue Shield - Ny Highmark Northeastern $102 - $2,409 42%
Blue Shield - Ny Highmark Western $102 - $2,409 42%
Blue Shield - Pa (Highmark) $102 - $2,409 42%
Blue Shield - Wa (Regence) $102 - $2,409 42%
Health Choices $102 - $153 42%
Kaiser Domestic $102 - $153 42%
Pre-Employment $102 - $153 42%
Wc Domestic $102 - $153 42%
Kaiser Permanente $125 - $537 51%
Wc Corvel $126 - $252 52%
Meritain $140 - $3,280 57%
Trustmark Small Business Benefits $1,640 - $3,280 673%
Allied Benefit Systems $1,732 - $3,463 711%
Boon Chapman $1,732 - $3,463 711%
Hap $1,732 - $3,463 711%
Webtpa $1,732 - $3,463 711%
St Agnes Nicu Valley Childrens Hospital $2,306 - $3,459 946%
Network Health $2,661 - $3,992 1092%
Allegiance $2,736 - $4,103 1122%
American Postal Workers Secondary $2,736 - $4,103 1122%
Interplan $3,193 - $4,790 1310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals