CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Adventist Health Tillamook

Billing Code: 73721 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$220

about 0.9× the $244 Medicare rate · typically $71–$1,409

modeled estimate · not a bill or quote

What this hospital charges insurers

$69

Below the fair price — a good deal

about $151 under the fair price · 0.3× Medicare

Medicare pays $244 Fair price $220 This hospital $69 Cash price $1,335 Hospital's list price $2,472

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Lowest price of the 9 OR hospitals we have prices for — a strong deal.

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 $220 (about 0.9× the $244 Medicare rate). Adventist Health Tillamook charges insurers about $69, or about $1,335 in cash — below the fair price — a good deal. Located in Tillamook, 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	$53 - $3,523	22%
Blue Cross Blue Shieldmajor	$71 - $3,226	29%
Aetnamajor	$62 - $3,448	25%
Cignamajor	$2,348 - $3,523	963%
Devoted Health	$67 - $1,882	27%
Health Net	$418 - $3,486	171%
Moda Health	$63 - $1,743	26%
PacificSource	$137 - $3,560	56%
+ 7 smaller / regional plans	$65 - $3,634

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (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 1,335), 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 Adventist Health Tillamook 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 Adventist Health Tillamook

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

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