CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Adventist Health Reedley

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $307
  • Cash Discount Price: $448
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Adventist Health Reedley is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $448. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.26x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$448

Average discount available for prompt cash payment at this facility.

Insurance Median
$307

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: $448 (184%)
Insurance Median: $307 (126%)
Cash: $448 (184% of Medicare)
Ins. Median: $307 (126% 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
Cigna $36 - $5,639 15%
Healthnet Medi-Cal $38 - $596 16%
Blue Shield Mcare $64 - $307 26%
Fhcn Pace Mcr Adv-All Plans $64 - $307 26%
Lasalle Med Assoc Profee Only - All Plans $64 26%
Tricare $64 - $307 26%
UnitedHealthcare $64 - $3,648 26%
Upn Mcr Adv Profee Only $64 26%
Ah Employee Health Plan - All Plans $70 - $552 29%
Community Care Ipa Mcal-All Plans $77 - $728 32%
Kaiser - All Other Plans $86 - $4,338 35%
Kaiser Mcr Adv $86 - $307 35%
Healthnet- All Other Plans $93 - $3,774 38%
Western Growers/Pinnacle- All Plans $95 - $3,991 39%
Physicians Med Group Op/Profee Only- All Plans $101 - $6,941 41%
Blue Shield Epn - All Other Plans $111 - $3,835 46%
Blue Cross Blue Shield $118 - $2,064 48%
Blue Shield Non Epn $123 - $4,442 50%
Bc Mcal $126 - $378 52%
Cal Viva Hlth Mcal - All Plans $126 - $560 52%
Central Ca Alliance Ccs Profee Only $126 - $378 52%
Central Ca Alliance Chdp Profee Only $126 - $378 52%
Central Ca Alliance Comm Profee Only - All Other P $126 - $378 52%
Central Ca Alliance Mcal Profee Only $126 - $378 52%
Dignity Mcal Op/Profee Only-All Other Plans $126 - $616 52%
Kern Health Systems Mcal-All Plans $126 - $560 52%
Medi-Cal $126 - $560 52%
Upn Mcal Profee Only-All Other Plans $126 - $378 52%
Dignity Mcr Adv Op/Profee Only $307 126%
Healthnet- Mcr Adv $307 126%
Phs Prime Health Srvcs $307 126%
Aetna $335 - $5,672 137%
Bright Health Mcr Adv - All Plans $482 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals