CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Glendale Adventist Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $313
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Glendale Adventist Medical Center is $313. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.28x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$313

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: $63 (26%)
Insurance Median: $313 (128%)
Cash: $63 (26% of Medicare)
Ins. Median: $313 (128% 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 $35 - $1,165 14%
Heritage Sr $60 - $80 25%
Alignment Hp Mcr Adv - All Plans $67 - $10,937 27%
Blue Shield Mcr Adv $67 - $307 27%
Caremore Mcr Adv - All Plans $67 - $636 27%
Clever Care Mcr Adv - All Plans $67 - $307 27%
Healthcare Partners- All Plans $67 - $1,030 27%
Heritage Commercial - All Other Plans $67 - $80 27%
La Care Mcr Adv- All Plans $67 - $2,000 27%
Molina Mcr $67 - $307 27%
Scan Mcr Adv - All Plans $67 - $2,500 27%
Tricare $67 - $307 27%
UnitedHealthcare $67 - $4,429 27%
Blue Cross Blue Shield $69 - $2,080 28%
Ah Employee Health Plan - All Plans $73 - $552 30%
Regal Medical Group Commercial - All Other Plans $80 - $368 33%
Dept Of State Hsp Metropolitan- All Plans $87 - $399 36%
Molina Exchange - All Other Plans $90 - $414 37%
Healthnet Mcr Adv $95 - $15,531 39%
Healthnet - All Other Plans $97 - $2,414 40%
Centivo - All Plans $100 - $690 41%
Western Growers/Pinnacle - All Plans $100 - $4,703 41%
Blue Shield Epn - All Other Plans $117 - $4,009 48%
First Health- All Plans $122 - $6,343 50%
Blue Shield Non Epn $123 - $4,619 50%
Phcs- All Plans $136 - $7,109 56%
Aetna $154 - $1,678 63%
Corvel- All Plans $168 - $8,750 69%
Health Mgmt Network - All Plans $178 - $9,296 73%
Kaiser - All Plans $178 - $9,296 73%
Bc Medi-Cal $197 - $220 81%
Blue Shield Medi-Cal $197 - $1,400 81%
Medi-Cal $197 - $560 81%
Molina Mcal $197 - $560 81%
Heritage Mcal $209 - $594 86%
Healthnet Mcal $210 - $667 86%
Regal Med Group Mcal $307 126%
Phys Assoc Op Only- All Plans $350 144%
Employers Health Network - All Plans $450 185%
Beech Street - All Plans $5,468 - $8,203 2243%
Choicecare - All Plans $5,468 - $8,203 2243%
Three Rivers - All Plans $6,197 - $9,296 2542%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals