CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Adventist Health Lodi Memorial

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$274

about 1.1× the $244 Medicare rate · typically $214–$598

modeled estimate · not a bill or quote

What this hospital charges insurers

$236

Below the fair price — a good deal

about $38 under the fair price · 1.0× Medicare

Medicare pays $244 Fair price $274 This hospital $236 Cash price $26 Hospital's list price $378

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 $236

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

A fair price for a MRI, knee or other leg joint is about $274 (about 1.1× the $244 Medicare rate). Adventist Health Lodi Memorial charges insurers about $236, or about $26 in cash — below the fair price — a good deal. Located in Lodi, 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	$64 - $364	26%
Blue Cross Blue Shieldmajor	$64 - $3,470	26%
Aetnamajor	$406 - $3,350	167%
Cignamajor	$36 - $8,103	15%
Humanamajor	$64 - $315	26%
Kaiser Permanentemajor	$86 - $3,691	35%
Bright Health	$629	258%
Health Net	$64 - $4,421	26%
+ 13 smaller / regional plans	$64 - $8,103

Government programs also on file: Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 26), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Adventist Health Lodi Memorial is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Adventist Health Lodi Memorial

Compare: MRI, knee or other leg joint at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.