CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Adventist Health Ukiah Valley

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,647
Cash Discount Price: $76
vs. Medicare Baseline: 6.76x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Adventist Health Ukiah Valley is $1,647. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.76x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$76

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,647

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: $76 (31%)

Insurance Median: $1,647 (676%)

Cash: $76 (31% of Medicare)

Ins. Median: $1,647 (676% 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 676% of the Medicare baseline (a markup of 576%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $4,820	14%
Blue Shield Mcr Adv	$64 - $329	26%
Kaiser Mcr Adv	$64 - $329	26%
Tricare	$64 - $329	26%
Ah Employee Health Plan - All Plans	$70 - $592	29%
Mendocino Lcc District-All Plans	$82 - $3,500	34%
UnitedHealthcare	$84 - $5,165	34%
Healthnet-All Plans	$93 - $3,534	38%
Western Growers-All Plans	$95 - $2,595	39%
Kaiser-All Other Plans	$101 - $4,943	41%
Three Rivers-All Plans	$113 - $5,561	46%
Blue Shield Epn-All Other Plans	$117 - $2,354	48%
Blue Shield Non-Epn	$123 - $2,385	50%
Kaiser Medi-Cal	$126 - $560	52%
Medi-Cal	$126 - $560	52%
Aetna	$335 - $2,189	137%
Blue Cross Blue Shield	$1,534 - $2,045	629%
Foundation For Medical Care-All Plans	$3,089 - $4,634	1267%
Networks By Design-All Plans	$3,295 - $4,943	1352%
Phcs Multiplan-All Plans	$3,295 - $4,943	1352%
Interplan-All Plans	$3,378 - $5,067	1386%
Beech Street-All Plans	$3,501 - $5,252	1436%
Choice Care-All Plans	$3,501 - $5,252	1436%
Health Mgmt Network-All Plans	$3,501 - $5,252	1436%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $76.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Ukiah Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73721.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.