CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Adventist Health Mendocino Coast

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,203
Cash Discount Price: $1,407
vs. Medicare Baseline: 9.04x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Adventist Health Mendocino Coast is $2,203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,407. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.04x the Medicare baseline. Located in 700 River Drive, Fort Bragg, CA.

Cash / Self-Pay

$1,407

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,203

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: $1,407 (577%)

Insurance Median: $2,203 (904%)

Cash: $1,407 (577% of Medicare)

Ins. Median: $2,203 (904% 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 904% of the Medicare baseline (a markup of 804%). 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
Cigna	$64 - $4,546	26%
Tricare	$64 - $2,856	26%
UnitedHealthcare	$64 - $4,717	26%
Blue Cross Blue Shield	$69 - $2,871	28%
Ah Employee Health Plan - All Plans	$70 - $3,031	29%
Healthnet - All Plans	$93 - $3,794	38%
Blue Shield Epn	$117 - $2,203	48%
Blue Shield - All Other Plans	$123 - $4,476	50%
Ahcc - All Plans	$126 - $5,245	52%
Beech Street - All Plans	$126 - $5,245	52%
Great West Hmo/Pos/Epo/Oa	$126 - $3,788	52%
Great West Ppo - All Other Plans	$126 - $4,080	52%
Medi-Cal	$126 - $560	52%
Multiplan - All Plans	$126 - $4,080	52%
Partnership Hp Mcal-All Plans	$126 - $1,680	52%

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 $1,407.
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 Mendocino Coast 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.