CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Adventist Health Howard Memorial

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $469
Cash Discount Price: $113
vs. Medicare Baseline: 1.92x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Adventist Health Howard Memorial is $469. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.92x the Medicare baseline. Located in 1 Marcela Dr, Willits, CA.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$469

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: $113 (46%)

Insurance Median: $469 (192%)

Cash: $113 (46% of Medicare)

Ins. Median: $469 (192% 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.

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	$36 - $5,574	15%
Blue Shield Mcare	$50 - $1,312	21%
Tricare	$50 - $1,312	21%
Medicare (plans)	$51 - $1,325	21%
UnitedHealthcare	$55 - $5,075	23%
Ah Employee Health Plan - All Plans	$70 - $3,410	29%
Healthnet - All Plans	$93 - $5,378	38%
Western Growers/Pinnacle - All Plans	$98 - $4,918	40%
Brms - All Plans	$107 - $5,574	44%
Blue Shield - All Other Plans	$123 - $4,492	50%
Medi-Cal	$126 - $560	52%
Aetna	$169 - $4,400	69%
Blue Shield Epn	$172 - $4,486	71%
First Health Ppo - All Plans	$202 - $5,246	83%
Ghn Ppo - All Plans	$202 - $5,246	83%
Blue Cross Blue Shield	$1,652 - $1,983	678%

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 $113.
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 Howard Memorial 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.