CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $243
  • Cash Discount Price: $804
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Cleveland Clinic Indian River Hospital is $243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $804. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.00x the Medicare baseline. Located in 1000 36Th St, Vero Beach, FL.
Cash / Self-Pay
$804

Average discount available for prompt cash payment at this facility.

Insurance Median
$243

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: $804 (330%)
Insurance Median: $243 (100%)
Cash: $804 (330% of Medicare)
Ins. Median: $243 (100% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Blue Cross Blue Shield $61 - $1,506 25%
Avmed $63 - $556 26%
Careplus $63 - $243 26%
Magellan $63 - $1,135 26%
United $63 - $243 26%
Value Options $63 26%
Wellcare $63 - $243 26%
Freedom Health $66 - $243 27%
Independent Living Systems $66 - $255 27%
Wellmed $66 - $243 27%
Clear Spring Health $68 - $292 28%
Aetna $76 - $1,622 31%
Cigna $76 - $568 31%
Carelon Bh Strategies $243 100%
Humana $243 100%
Devoted Health $267 110%
Clarity Health $378 - $1,230 155%
The Legacy Companies $378 - $1,230 155%
National Provider Network $407 167%
Three Rivers $407 167%
Consociate Health $436 179%
Bmi $1,041 427%
Multiplan $1,514 621%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 36Th St, Vero Beach, FL 32960
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals