CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Bay Area Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $380
Cash Discount Price: $1,180
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Bay Area Hospital is $380. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,180. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.56x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$1,180

Average discount available for prompt cash payment at this facility.

Insurance Median

$380

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: $1,180 (484%)

Insurance Median: $380 (156%)

Cash: $1,180 (484% of Medicare)

Ins. Median: $380 (156% 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.

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
Healthnet Mcr Adv	$68 - $307	28%
Moda Hlth Mcr Adv	$68 - $312	28%
Southwest Oregon Ipa - All Plans	$76 - $236	31%
Ods Ppo/Pos - All Plans	$96 - $1,105	39%
Nasomah Hlth Grp - All Plans	$113 - $1,775	46%
Blue Cross Blue Shield	$146 - $10,595	60%
Moda Beacon - All Other Plans	$167 - $770	69%
Healthnet Comm- All Other Plans	$179 - $2,811	73%
Moda Connexus/Synergy	$186 - $2,634	76%
Healthnet Mcaid	$188 - $284	77%
Prov Behav Hlth	$380	156%
Providence - All Other Plans	$380 - $2,752	156%
Providence Pebb	$380 - $1,096	156%
Pacificsource - All Plans	$515 - $2,515	211%
First Choice - All Plans	$2,693	1105%
Aetna	$2,722	1117%
Cigna	$2,722	1117%
UnitedHealthcare	$2,811	1153%

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 $1,180.
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 Bay Area Hospital 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.