CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Shriners Hospitals for Children Northern Calif

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$387
about 1.6× the $244 Medicare rate · typically $224–$748
modeled estimate · not a bill or quote
What this hospital charges insurers
$282
Below the fair price — a good deal
about $105 under the fair price · 1.2× Medicare
Medicare pays $244 Fair price $387 This hospital $282 Cash price $2,290 Hospital's list price $2,290

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $63 Priciest $282

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 $387 (about 1.6× the $244 Medicare rate). Shriners Hospitals for Children Northern Calif charges insurers about $282, or about $2,290 in cash — below the fair price — a good deal. Located in Sacramento, 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 $233 96%
Blue Cross Blue Shieldmajor $282 - $469 116%
Aetnamajor $234 - $320 96%
Cignamajor $282 116%
Kaiser Permanentemajor $100 - $282 41%
Ambetter (Centene) $234 - $356 96%
Amerigroup $242 99%
AmeriHealth $269 110%
CareSource $269 110%
Health Net $356 146%
Molina $234 - $282 96%
Providence Health Plan $333 137%
+ 8 smaller / regional plans $269 - $483
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 2425 Stockton Boulevard, Sacramento, CA 95817
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens