MRI, knee or other leg joint
Facility: Watsonville Community Hospital
Billing Code: 73721 (CPT)
- CPT Billing Code: 73721
- Insurance Median: $6,115
- Cash Discount Price: $6,642
- vs. Medicare Baseline: 25.09x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 2509% of the Medicare baseline (a markup of 2409%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Alliance/Sccho | $280 | 115% |
| Medicaid / KanCare | $282 | 116% |
| Healthy Families | $282 | 116% |
| California Childrens Srvs | $282 | 116% |
| Medi-Cal/Eds | $282 | 116% |
| Medi-Cal E.R. | $282 | 116% |
| Ccs/Monterey County | $282 | 116% |
| Well Path | $282 - $15,499 | 116% |
| Pacificare HMO | $475 - $3,100 | 195% |
| UnitedHealthcare | $475 - $3,100 | 195% |
| Health Net Pmg HMO | $475 - $9,718 | 195% |
| Blue Cross Blue Shield | $475 - $6,507 | 195% |
| Aetna | $475 - $8,562 | 195% |
| Cigna | $475 - $10,849 | 195% |
| Blue Shield HMO | $475 - $3,100 | 195% |
| Great-West/Phcs | $475 - $10,849 | 195% |
| Secure Horizons Dign HMO | $475 - $3,100 | 195% |
| Pacificare PPO | $1,525 - $3,100 | 626% |
| Health Net Smartcare Netw | $1,525 - $3,100 | 626% |
| Medicruz | $1,963 - $2,790 | 805% |
| Victim Compensation Plan | $1,963 - $15,499 | 805% |
| Western Growers Trust/Bc | $2,105 - $7,749 | 864% |
| Operating Engineers | $2,105 - $6,507 | 864% |
| Pinnacle Claims Tpa/Bc | $2,105 - $7,749 | 864% |
| Delta Health Systems | $2,105 - $6,507 | 864% |
| Teamsters Benefit Trust | $2,105 - $6,507 | 864% |
| City of Wats/Pinnacle Clm | $2,105 - $6,507 | 864% |
| Calif Ironworkers Field | $2,105 - $6,507 | 864% |
| Carpenters H&W Trust | $2,105 - $6,507 | 864% |
| Claims Management Wc | $2,105 - $6,507 | 864% |
| Robert Kennedy/Ccn | $2,105 - $6,507 | 864% |
| Sheet Metal Workers | $2,105 - $6,507 | 864% |
| State Compensation Fund | $2,105 - $6,507 | 864% |
| Laborers Health & Welfare | $2,105 - $6,507 | 864% |
| Monterey Bay Pub Emp Trst | $2,105 - $6,507 | 864% |
| Transwestern | $3,200 - $12,399 | 1313% |
| Adventist Risk Management | $3,200 - $12,399 | 1313% |
| Geha (Ccn) | $3,200 - $12,399 | 1313% |
| First Health | $3,200 - $12,399 | 1313% |
| Western Health Advantage | $5,452 - $7,749 | 2237% |
| Self Pay | $6,543 - $9,299 | 2684% |
| Health Net Blue and Gold | $6,837 - $9,718 | 2805% |
| Health Net Canopycare HMO | $6,837 - $9,718 | 2805% |
| Health Net of California | $6,837 - $9,718 | 2805% |
| Multiplan Inc PPO | $8,506 - $12,089 | 3489% |
| Private Healthcare System | $8,506 - $12,089 | 3489% |
| Coastal Healthcare Admin | $9,269 - $13,949 | 3802% |
| Salinas Valley Mem Hops | $9,269 - $13,174 | 3802% |
| Allstate | $10,905 - $15,499 | 4473% |
| Physicians Mutual | $10,905 - $15,499 | 4473% |
| Humana | $10,905 - $15,499 | 4473% |
| Zenith National Ins | $10,905 - $15,499 | 4473% |
| Miscellaneous Auto | $10,905 - $15,499 | 4473% |
| North Calif Bakery Driver | $10,905 - $15,499 | 4473% |
| Bankers Life & Casualty | $10,905 - $15,499 | 4473% |
| Aarp | $10,905 - $15,499 | 4473% |
| Farmers Insurance | $10,905 - $15,499 | 4473% |
| Miscellaneous Insurance | $10,905 - $15,499 | 4473% |
| Travelers Insurance | $10,905 - $15,499 | 4473% |
| Prucare Pmg HMO | $10,905 - $15,499 | 4473% |
| Aaa | $10,905 - $15,499 | 4473% |
| Sutter Health Plus | $10,905 - $15,499 | 4473% |
| Wholesale Beer Distributo | $10,905 - $15,499 | 4473% |
| State Farm Ins | $10,905 - $15,499 | 4473% |
| United Administrative | $10,905 - $15,499 | 4473% |
| Prucare Pmg POS | $10,905 - $15,499 | 4473% |
| Apwu Health Plan | $10,905 - $15,499 | 4473% |