CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mid-Columbia Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $284
  • Cash Discount Price: $612
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mid-Columbia Medical Center is $284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $612. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.17x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$612

Average discount available for prompt cash payment at this facility.

Insurance Median
$284

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: $612 (251%)
Insurance Median: $284 (117%)
Cash: $612 (251% of Medicare)
Ins. Median: $284 (117% 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.

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
Blue Cross Blue Shield $62 - $7,489 25%
Community Hp Mcr Adv - All Plans $62 - $284 25%
Molina Mcr Adv $62 - $284 25%
Tricare $62 - $284 25%
Va Ccn Triwest - All Plans $62 - $284 25%
Healthnet Mcr Adv $63 - $290 26%
Humana $64 - $298 26%
Moda Mcr Adv $64 - $284 26%
Devoted Mcr Adv - All Plans $67 - $2,537 27%
Employee Health Plan - All Plans $68 - $511 28%
Molina - All Other Plans $68 - $312 28%
Aetna $74 - $2,168 30%
Healthnet - All Other Plans $92 38%
Cigna $104 - $2,213 43%
Multiplan/Phcs - All Plans $105 - $2,232 43%
Molina Mcaid $106 - $1,221 43%
Coventry - All Plans $119 - $2,114 49%
First Choice - All Plans $121 - $2,232 50%
Providence Ppo - All Plans $127 - $2,232 52%
Moda Health Plan - All Other Plans $133 - $1,550 55%
Amerigroup Mcaid - All Plans $203 - $1,221 83%
Coordinated Care Mcaid - All Plans $203 - $1,221 83%
Norocor - All Plans $1,174 482%
UnitedHealthcare $1,221 - $2,232 501%
Healthscape - All Plans $1,879 771%
First Health - All Plans $2,091 858%
Pacific Source - All Plans $2,161 886%
Trpn - Three Rivers - All Plans $2,232 916%
Ahp - Americas Hlth Plan - All Plans $2,279 935%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals