CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Adventist Health Tehachapi Valley

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$244

about 1.0× the $244 Medicare rate · typically $140–$654

modeled estimate · not a bill or quote

What this hospital charges insurers

$140

Below the fair price — a good deal

about $104 under the fair price · 0.6× Medicare

Medicare pays $244 Fair price $244 This hospital $140 Cash price $460 Hospital's list price $1,703

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

On the higher side — 6 of 8 other CA hospitals charge less.

Cheapest $63 Priciest $197

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 $244 (about 1.0× the $244 Medicare rate). Adventist Health Tehachapi Valley charges insurers about $140, or about $460 in cash — below the fair price — a good deal. Located in Tehachapi, CA.

What each insurance company pays

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

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

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

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 - $1,653	26%
Blue Cross Blue Shieldmajor	$117 - $1,688	48%
Aetnamajor	$77 - $3,038	32%
Cignamajor	$36 - $2,636	15%
Kaiser Permanentemajor	$557 - $1,103	228%
Health Net	$64 - $2,599	26%
Oscar Health	$74 - $390	30%
+ 9 smaller / regional plans	$64 - $1,789

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

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 460), 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 Tehachapi Valley 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 Tehachapi Valley

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

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