CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Bay Area Hospital

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$315

about 1.3× the $244 Medicare rate · typically $296–$394

modeled estimate · not a bill or quote

What this hospital charges insurers

$295

About the fair price

about $20 under the fair price · 1.2× Medicare

Medicare pays $244 Fair price $315 This hospital $295 Cash price $1,180 Hospital's list price $1,574

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 $295

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 $315 (about 1.3× the $244 Medicare rate). Bay Area Hospital charges insurers about $295, or about $1,180 in cash — about the fair price. Located in Coos Bay, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$2,811	1153%
Blue Cross Blue Shieldmajor	$146 - $10,595	60%
Aetnamajor	$2,722	1117%
Cignamajor	$2,722	1117%
Health Net	$68 - $2,811	28%
Moda Health	$68 - $2,634	28%
PacificSource	$515 - $2,515	211%
+ 6 smaller / regional plans	$76 - $2,752

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 1,180), 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 Bay Area Hospital 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 Bay Area Hospital

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

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