CMS Price Transparency Data
MRI, knee or other leg joint
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 73721 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73721
- Insurance Median: $384
- Cash Discount Price: $4,345
- vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at AHMC Anaheim Regional Medical Center is $384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,345. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.58x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$4,345
Average discount available for prompt cash payment at this facility.
Insurance Median
$384
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: $4,345 (1782%)
Insurance Median: $384 (158%)
Cash: $4,345 (1782% of Medicare)
Ins. Median: $384 (158% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Private Pay Flat Rate | $92 | 38% |
| Monarch Healthcare Medical Group | $167 | 69% |
| Altamed Health Network | $197 - $302 | 81% |
| Applecare Medical Group | $197 | 81% |
| Beverly Hospital | $197 - $338 | 81% |
| Brand New Day | $197 - $384 | 81% |
| Health Net | $197 | 81% |
| Healthcare Partners | $197 - $302 | 81% |
| Healthy Way La | $197 | 81% |
| Heritage Provider Network | $197 - $414 | 81% |
| Non Contracted Medi-Cal | $197 | 81% |
| Talbert Medical Group | $197 - $368 | 81% |
| Veterans Administration | $215 | 88% |
| Caloptima | $276 - $700 | 113% |
| Monarch Health Plan | $276 - $2,950 | 113% |
| Prospect Health Plan | $276 - $414 | 113% |
| Prospect Medical Group | $276 | 113% |
| Alta Los Angeles Hospital | $287 | 118% |
| Tricare | $292 | 120% |
| Affiliated Doctors Of Orange County | $300 | 123% |
| Aetna | $302 - $1,524 | 124% |
| Aids Health Foundation | $302 - $560 | 124% |
| Alignment Health Plan | $302 | 124% |
| Apa Aco Inc | $302 | 124% |
| Avanti | $302 - $560 | 124% |
| Blue Cross Blue Shield | $302 - $1,172 | 124% |
| Blue Shield Of California | $302 - $5,161 | 124% |
| California Health Plan | $302 | 124% |
| Central Health Of California | $302 | 124% |
| Davita Heatlhcare Partners Plan Inc | $302 - $2,346 | 124% |
| Healthnet | $302 | 124% |
| Humana | $302 | 124% |
| Kaiser Foundation Hospitals | $302 - $560 | 124% |
| Medicare (plans) | $302 - $600 | 124% |
| Pacificare | $302 | 124% |
| Scan Health Plan | $302 | 124% |
| Seoul Medical Group | $302 - $307 | 124% |
| Wellcare | $302 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $307 | 126% |
| Emanate Health | $307 - $560 | 126% |
| Innovative Integrated Health (Iih)/Orange County Pace | $307 | 126% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $307 | 126% |
| Self-Pay | $307 | 126% |
| Memorial Healthcare Ipa | $310 | 127% |
| Nchp | $317 | 130% |
| Align Senior Care | $320 | 131% |
| Angels Baseball Workers Comp | $347 | 142% |
| Interplan | $367 - $3,042 | 151% |
| UnitedHealthcare | $376 | 154% |
| Ahmc Health Self-Insurance Epo | $384 | 158% |
| Knox-Keene Act | $384 | 158% |
| First Health | $396 - $3,476 | 162% |
| Orange County Preferred Provider Organization | $396 - $3,259 | 162% |
| Athens Administrators | $408 | 167% |
| Capp Care | $408 - $3,259 | 167% |
| Cigna | $408 - $2,059 | 167% |
| Marriot Intl | $408 | 167% |
| Non Contracted Workers Comp | $408 | 167% |
| Msi/Medical Services For Indigents | $450 | 185% |
| Ahmc Reciprocity Agreement | $451 | 185% |
| Genesis Healthcare Ipa Ancillary | $513 | 210% |
| Health Net Inc | $560 - $3,337 | 230% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $560 | 230% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $560 | 230% |
| Hollywood Presbyterian Medpoint Mcal | $560 | 230% |
| Medi-Cal | $560 | 230% |
| Medical Safety Net Program | $560 | 230% |
| Multiplan Inc | $600 | 246% |
| Medical Acquisition Company | $625 | 256% |
| Care First | $630 | 258% |
| Private Healthcare Systems | $810 | 332% |
| Advance Clinical Research Institute | $950 | 390% |
| Netcare Life And Health Insurance | $1,086 | 446% |
| Healthcare Partners Commercial | $2,346 | 962% |
| Huntington Memorial Hospital | $2,346 | 962% |
| Affiliated Health Fund | $3,042 | 1248% |
| Allnet Preferred Provider | $3,042 | 1248% |
| Choicecare | $3,259 | 1337% |
| Corvel | $3,259 | 1337% |
| National Provider Network | $3,476 | 1426% |
| Three Rivers Providers Network | $3,476 | 1426% |
| Health Payors Organization | $3,910 | 1604% |
| Non Contracted Commercial | $4,345 | 1782% |