CMS Price Transparency Data
MRI, knee or other leg joint
Facility: Children's Hosp of Los Angeles
Billing Code: 73721 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73721
- Insurance Median: $131
- Cash Discount Price: $182
- vs. Medicare Baseline: 0.54x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Children's Hosp of Los Angeles is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $182. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.54x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$182
Average discount available for prompt cash payment at this facility.
Insurance Median
$131
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: $182 (75%)
Insurance Median: $131 (54%)
Cash: $182 (75% of Medicare)
Ins. Median: $131 (54% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medi-Cal | $27 - $182 | 11% |
| Inland Empire Health Plan | $27 - $182 | 11% |
| Molina | $27 - $182 | 11% |
| Shriners Hospital | $55 | 23% |
| Medicaid / KanCare | $55 - $182 | 23% |
| Beech Street | $73 | 30% |
| Non-Contract Payors | $73 | 30% |
| Incentive Health Network | $73 | 30% |
| Health Net | $76 - $227 | 31% |
| Emanate Health Medical Center Mmc | $82 | 34% |
| Kaiser | $85 - $104 | 35% |
| Facey Medical Group | $87 - $824 | 36% |
| Axminster Medical Group | $87 - $824 | 36% |
| St. John's Health Clinic | $87 - $824 | 36% |
| Altamed | $91 - $450 | 37% |
| Managed Care Systems | $91 - $918 | 37% |
| Citrus Valley Phys Grp | $91 - $650 | 37% |
| Mercy Care | $91 | 37% |
| Sansum Clinic | $91 | 37% |
| La Care | $91 - $182 | 37% |
| Gemcare IPA | $91 - $918 | 37% |
| Pioneer Prov Ntwk | $91 | 37% |
| Accarent Health | $91 | 37% |
| Staywell Insurance | $91 | 37% |
| Book Md | $95 - $1,579 | 39% |
| Good Samaritan Medical Group | $96 - $1,008 | 39% |
| Applecare Medical Group | $96 - $545 | 39% |
| Blue Shield | $98 - $182 | 40% |
| Aetna | $100 | 41% |
| Culinary Health Fund | $100 - $182 | 41% |
| Choice Medical Group | $100 | 41% |
| Intl - Global Medical Management | $100 | 41% |
| Global Care Medical Group | $100 - $182 | 41% |
| Intl - Quality Health Management | $100 - $182 | 41% |
| Premier Physicians Ntwk | $100 - $182 | 41% |
| Intl - Global Excel Management | $100 - $364 | 41% |
| Community Care | $100 | 41% |
| National Healthcare Solutions | $100 | 41% |
| Bella Vista Med Grp | $100 - $182 | 41% |
| Health Care La IPA | $100 - $182 | 41% |
| Centinela Valley IPA | $100 - $182 | 41% |
| Blue Cross Blue Shield | $106 - $894 | 43% |
| Seoul Medical Group | $107 - $922 | 44% |
| Access Medical Group | $107 - $836 | 44% |
| Preferred IPA - Commercial | $109 | 45% |
| Emanate Health Medical Center Commercial | $109 | 45% |
| Self-Pay | $109 | 45% |
| Bright Medical Associates | $109 | 45% |
| Alhambra Hospital Medical Center | $109 - $182 | 45% |
| Allied Pacific IPA | $109 - $182 | 45% |
| UnitedHealthcare | $109 - $292 | 45% |
| Delta Health Systems | $109 | 45% |
| Los Angeles Medical Center IPA | $109 - $182 | 45% |
| Family Care Specialists | $109 - $182 | 45% |
| Ventura County Health Plan | $109 - $1,022 | 45% |
| Private Hlthcare System | $109 | 45% |
| Sanus Health | $109 | 45% |
| Heritage Provider Network | $110 - $1,250 | 45% |
| Sierra Health and Life Insurance Company | $114 | 47% |
| Embassy - Saudi Arabia | $118 | 48% |
| Lakewood Health Plan | $118 | 48% |
| Redlands Community Hospital | $118 | 48% |
| Intl - Erv Travel Services | $118 - $127 | 48% |
| Serra Community Med Clinic - Commercial | $118 | 48% |
| Calvo Selectcare | $118 | 48% |
| Intl - Msh China Enterprise Services | $118 | 48% |
| Seaside Health Plan | $118 - $182 | 48% |
| Star Healthcare Network Commercial | $118 | 48% |
| Marian Health Services | $118 | 48% |
| Plotkin Health | $118 | 48% |
| Cedar Sinai Med Grp | $118 | 48% |
| Prime Health Services | $118 | 48% |
| Intl - Aixin Life Insurance Co | $118 - $182 | 48% |
| Axis Services International | $118 | 48% |
| Intl - Concierge Healthcare Services | $118 | 48% |
| Angeles IPA | $127 - $182 | 52% |
| Multiplan | $127 | 52% |
| Beaver Medical Group | $127 | 52% |
| Memorialcare Med Foundation | $127 | 52% |
| Korean American Med Grp | $127 | 52% |
| Primecare Medical Network | $127 | 52% |
| Embassy - Kuwait | $136 | 56% |
| Hispanic Physician IPA | $136 - $182 | 56% |
| Interlink Health Services | $136 | 56% |
| Associated Hispanic Physicians IPA | $136 - $182 | 56% |
| Prospect Medical Group | $136 | 56% |
| Embassy - All Others | $145 | 59% |
| Self-Pay International | $145 | 59% |
| Medicare (plans) | $179 - $302 | 73% |
| Noble Community Medical Associates | $182 | 75% |
| Primary Care and Pediatric IPA | $182 | 75% |
| El Proyecto Del Barrio | $182 | 75% |
| Caloptima | $182 | 75% |
| Community Family Care IPA | $182 | 75% |
| Southland San Gabriel Valley Medical Group | $182 | 75% |
| Accountable Health | $182 | 75% |
| Regent Medical Group | $182 | 75% |
| California Pacific Physicians Medical Group | $182 | 75% |
| Exceptional Care Medical Group | $182 - $1,060 | 75% |
| Dignity Health | $182 | 75% |
| Preferred IPA | $182 | 75% |
| Serendib Healthways Mmc | $182 | 75% |
| Karing Physicians Medical Group | $182 | 75% |
| Beverly Hospital | $182 | 75% |
| Souther California Hosp System - Mmc | $182 | 75% |
| Asian Community Medical Group | $182 | 75% |
| San Judas Med Grp | $182 | 75% |
| Community Care IPA Mmc | $182 | 75% |
| Watts Healthcare Mmc | $182 | 75% |
| Southern Atlantic Medical Group Mmc | $182 - $291 | 75% |
| Cal Care IPA | $182 | 75% |
| Pacific Alliance Medical Center | $182 | 75% |
| Valley Presbyterian Hospital | $182 | 75% |
| White Memorial Medical Center | $182 | 75% |
| Adventist Health Physicians | $182 - $552 | 75% |
| Serra Community Med Clinic | $182 | 75% |
| St Francis Medical Center | $182 - $400 | 75% |
| Crown City Medical Group | $182 | 75% |
| Gold Coast Health Plan | $182 | 75% |
| Care 1St | $182 | 75% |
| Imperial Health Holdings Medical Group | $182 | 75% |
| Cencal Health | $182 | 75% |
| Choc Health Alliance | $182 | 75% |
| Kern Family Health Plan | $182 | 75% |
| Point Comfort Underwriters | $182 | 75% |
| Family Health Alliance Med Grp | $182 | 75% |
| Avalon IPA | $182 | 75% |
| Hollywood Presbyterian Medical Center | $182 | 75% |
| Mabuhay Medical Group | $182 | 75% |
| Superior Choice Medical Group | $182 | 75% |
| Healthy New Life Medical Corp | $182 | 75% |
| Employee Health Systems Med Grp | $182 | 75% |
| Champus | $298 | 122% |
| Cigna | $601 | 247% |
| Providence Health Network | $790 | 324% |