CMS Price Transparency Data

MRI, knee or other leg joint

Facility: AHMC Seton Medical Center

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$413
about 1.7× the $244 Medicare rate · typically $322–$818
modeled estimate · not a bill or quote
What this hospital charges insurers
$433
About the fair price
about $20 over the fair price · 1.8× Medicare
Medicare pays $244 Fair price $413 This hospital $433 Cash price $3,337 Hospital's list price $4,171

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $63 Priciest $433

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $413 (about 1.7× the $244 Medicare rate). AHMC Seton Medical Center charges insurers about $433, or about $3,337 in cash — about the fair price. Located in Daly City, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $346 - $376 142%
Blue Cross Blue Shieldmajor $62 - $6,063 25%
Aetnamajor $341 - $965 140%
Cignamajor $2,920 1198%
Humanamajor $341 140%
Kaiser Permanentemajor $346 - $3,420 142%
Health Net $341 - $3,199 140%
+ 28 smaller / regional plans $184 - $4,171
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals