CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Snoqualmie Valley Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,595
Cash Discount Price: $2,151
vs. Medicare Baseline: 6.54x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Snoqualmie Valley Hospital is $1,595. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,151. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 6.54x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$2,151

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,595

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: $2,151 (882%)

Insurance Median: $1,595 (654%)

Cash: $2,151 (882% of Medicare)

Ins. Median: $1,595 (654% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 654% of the Medicare baseline (a markup of 554%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Community Health Plan Of Wa Mcd Rep	$124 - $2,596	51%
Medicaid / KanCare	$124 - $2,597	51%
UnitedHealthcare	$124 - $5,117	51%
Amerigroup Wellpoint	$131 - $2,752	54%
Washington Coordinated Care	$134 - $2,804	55%
Molina Healthcare Of Washington Mcd Rep	$136 - $2,804	56%
Blue Shield Of Wa Regence Mcr Adv	$237 - $2,367	97%
Community Health Plan Of Wa	$237 - $2,392	97%
Medicare (plans)	$237 - $2,344	97%
Molina Healthcare Of Washington Mcr Adv	$237 - $2,344	97%
Molina Healthcare Of Washington	$242 - $2,392	99%
Aetna	$269 - $3,232	110%
Blue Cross Blue Shield	$286 - $3,337	117%
Blue Shield Of Wa Regence	$292 - $461	120%
Humana	$300 - $2,367	123%
First Choice Health Network	$312 - $3,894	128%
Kaiser Foundation Health Plan Of The Northwest	$444 - $3,502	182%
Cigna	$565 - $4,450	232%

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 $2,151.
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 Snoqualmie Valley 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.