CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Southwest Healthcare Rancho Springs Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,832
Cash Discount Price: $2,811
vs. Medicare Baseline: 11.62x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Southwest Healthcare Rancho Springs Hospital is $2,832. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,811. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.62x the Medicare baseline. Located in 25500 Medical Center Drive, Murrieta, CA.

Cash / Self-Pay

$2,811

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,832

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: $2,811 (1153%)

Insurance Median: $2,832 (1162%)

Cash: $2,811 (1153% of Medicare)

Ins. Median: $2,832 (1162% 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 1162% of the Medicare baseline (a markup of 1062%). 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
Health_Net	$150 - $4,119	62%
Kaiser	$184 - $3,577	75%
United_Healthcare	$206 - $376	85%
Heritage	$224 - $4,611	92%
Iehp	$266	109%
Blue Cross Blue Shield	$431 - $5,793	177%
Aetna	$1,682	690%
Cigna	$2,060 - $4,324	845%
Primecare	$2,287 - $4,506	938%
Palomar	$2,697 - $5,661	1106%
Rady_Children'S_Hospital	$4,017 - $7,490	1648%
Multiplan	$5,164 - $10,840	2118%
Sharp_Health_Plan	$5,164 - $10,840	2118%

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 $2,811.
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 Southwest Healthcare Rancho Springs Hospital 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.