CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Baptist Hospital of Miami

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,100
Cash Discount Price: $3,592
vs. Medicare Baseline: 8.61x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Baptist Hospital of Miami is $2,100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,592. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.61x the Medicare baseline. Located in 8900 N Kendall Dr, Miami, FL.

Cash / Self-Pay

$3,592

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,100

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: $3,592 (1474%)

Insurance Median: $2,100 (861%)

Cash: $3,592 (1474% of Medicare)

Ins. Median: $2,100 (861% 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 861% of the Medicare baseline (a markup of 761%). 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
Amerigroup	$152	62%
Medicaid / KanCare	$152 - $167	62%
UnitedHealthcare	$160 - $5,526	66%
Wellcare	$160	66%
Sunshine State	$161	66%
Aetna	$164 - $4,421	67%
Vista	$173	71%
Medicare (plans)	$249 - $336	102%
Blue Cross Blue Shield	$258 - $3,581	106%
Medica Health Plan	$267	110%
Humana	$272	112%
Avmed	$274 - $2,719	112%
Leon Medical	$279	114%
Cigna	$284 - $4,421	117%
Non Contracted	$2,028	832%
Amerihealth	$2,487	1020%
International	$3,592	1474%
Dimension Health Plan	$4,144 - $4,973	1700%
Affordable	$4,697	1927%
Phcs	$4,973	2040%
Quality Health	$4,973	2040%

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 $3,592.
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 Baptist Hospital of Miami 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.