CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Florida Jfk Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,405
Cash Discount Price: $9,670
vs. Medicare Baseline: 9.87x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Florida Jfk Hospital is $2,405. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,670. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.87x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$9,670

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,405

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: $9,670 (3967%)

Insurance Median: $2,405 (987%)

Cash: $9,670 (3967% of Medicare)

Ins. Median: $2,405 (987% 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 987% of the Medicare baseline (a markup of 887%). 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
United	$518 - $5,802	212%
Healthy Palm Beaches	$550	226%
Freedom Health	$554 - $2,063	227%
Optimum	$554 - $1,109	227%
Simply Healthcare Plans	$838 - $1,676	344%
Avmed	$1,088 - $6,446	446%
Molina	$1,096 - $3,481	450%
Aetna	$1,200 - $3,868	492%
Health Sun Health Plan	$1,373 - $2,746	563%
Aids Healthcare	$1,418 - $15,472	582%
Mmm Of Fl (Health Advantage Plan)	$1,483 - $2,965	608%
United Ppo	$1,528 - $3,056	627%
Sunshine State Health Plan	$1,676 - $3,352	688%
Blis	$2,256 - $4,513	925%
Corvel Corporation	$2,480	1017%
Careworks (Rockport)	$2,532	1039%
Prime Health	$2,532	1039%
District Cares	$3,224 - $6,446	1323%
Plotkin Health	$3,224 - $6,446	1323%
Prime Health Sherriff	$3,224 - $6,446	1323%
Medica Healthcare	$3,804 - $7,607	1560%
Multiplan	$4,835 - $10,959	1983%
Evernorth Bh	$5,158 - $10,314	2116%

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 $9,670.
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 HCA Florida Jfk 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.