CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Riverside University Health System-Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $507
  • Cash Discount Price: $8,651
  • vs. Medicare Baseline: 2.08x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Riverside University Health System-Medical Center is $507. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,651. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.08x the Medicare baseline. Located in 26520 Cactus Avenue, Moreno Valley, CA.
Cash / Self-Pay
$8,651

Average discount available for prompt cash payment at this facility.

Insurance Median
$507

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: $8,651 (3549%)
Insurance Median: $507 (208%)
Cash: $8,651 (3549% of Medicare)
Ins. Median: $507 (208% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 208% of the Medicare baseline (a markup of 108%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Inland Empire Health Plan Mcal Hmo $144 - $8,651 59%
La Care Health Plan $144 - $8,651 59%
Medi-Cal $144 - $8,651 59%
Medical Groups Commercial Contracted $179 - $8,651 73%
Inland Empire Health Plan $307 - $8,651 126%
Medicare (plans) $307 - $8,651 126%
Molina $307 - $8,651 126%
Blue Cross Blue Shield $329 - $8,651 135%
California Department Of Corrections $507 - $8,651 208%
Kaiser $6,488 2662%
Workers Comp $8,651 3549%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 26520 Cactus Avenue, Moreno Valley, CA 92555
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals