CMS Price Transparency Data

MRI, knee or other leg joint

Facility: St Charles Medical Center Prineville

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$413
about 1.7× the $244 Medicare rate · typically $264–$810
modeled estimate · not a bill or quote
What this hospital charges insurers
$788
Well above the fair price
about $375 over the fair price · 3.2× Medicare
Medicare pays $244 Fair price $413 This hospital $788 Cash price $1,812 Hospital's list price $2,265

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 $788

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a MRI, knee or other leg joint is about $413 (about 1.7× the $244 Medicare rate). St Charles Medical Center Prineville charges insurers about $788, or about $1,812 in cash — well above the fair price. Located in Prineville, OR.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $413. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $469 - $2,638 192%
Blue Cross Blue Shieldmajor $516 - $879 212%
Aetnamajor $469 - $2,483 192%
Cignamajor $469 - $1,798 192%
Humanamajor $469 - $799 192%
Kaiser Permanentemajor $469 - $2,472 192%
Devoted Health $469 - $799 192%
Health Net $469 - $2,683 192%
Moda Health $568 - $2,455 233%
PacificSource $236 - $1,561 97%
Providence Health Plan $568 - $2,498 233%
UniCare $469 - $799 192%
WellCare $469 - $799 192%
+ 66 smaller / regional plans $355 - $2,797
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 384 Se Combs Flat Road, Prineville, OR 97754
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals