CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Santiam Hospital & Clinics

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$282

about 1.2× the $244 Medicare rate · typically $267–$386

modeled estimate · not a bill or quote

What this hospital charges insurers

$268

About the fair price

about $14 under the fair price · 1.1× Medicare

Medicare pays $244 Fair price $282 This hospital $268 Cash price $909 Hospital's list price $909

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $69 Priciest $268

Black dot = this hospital, among the 9 OR 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 $282 (about 1.2× the $244 Medicare rate). Santiam Hospital & Clinics charges insurers about $268, or about $909 in cash — about the fair price. Located in Stayton, OR.

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	$268 - $1,259	110%
Blue Cross Blue Shieldmajor	$268 - $4,873	110%
Aetnamajor	$248 - $1,163	102%
Cignamajor	$269 - $1,264	110%
Humanamajor	$268	110%
Kaiser Permanentemajor	$102 - $1,242	42%
Devoted Health	$284	117%
Health Net	$276 - $1,424	113%
Moda Health	$271 - $1,274	111%
+ 11 smaller / regional plans	$102 - $1,424

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 909), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Santiam Hospital & Clinics is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Santiam Hospital & Clinics

Compare: MRI, knee or other leg joint at other OR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.