CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Adventist Health Clearlake

Billing Code: 73721 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,418
about 5.8× the $244 Medicare rate · typically $320–$3,366
modeled estimate · not a bill or quote
Medicare pays $244 Fair price $1,418 Cash price $1,956 Hospital's list price $5,432

How we calculate the fair BaseRate →

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 $993 - $5,522 407%
Blue Cross Blue Shieldmajor $903 - $4,285 370%
Aetnamajor $3,213 - $4,947 1318%
Cignamajor $3,870 - $5,959 1588%
Humanamajor $3,655 - $5,628 1499%
Kaiser Permanentemajor $903 - $5,959 370%
Health Net $3,526 - $5,429 1446%
+ 6 smaller / regional plans $560 - $10,925
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 15630 18Th Ave - Hwy 53, Clearlake, CA 95422
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals