CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Florida Osceola Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $6,765
Cash Discount Price: $17,025
vs. Medicare Baseline: 27.75x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Florida Osceola Hospital is $6,765. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,025. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 27.75x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$17,025

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,765

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: $17,025 (6984%)

Insurance Median: $6,765 (2775%)

Cash: $17,025 (6984% of Medicare)

Ins. Median: $6,765 (2775% 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 2775% of the Medicare baseline (a markup of 2675%). 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 - $9,319	212%
Freedom Health	$965 - $1,491	396%
Optimum	$965 - $1,491	396%
Aetna	$1,580 - $6,212	648%
Avmed	$1,625 - $10,354	667%
Simply	$2,065 - $3,189	847%
Corvel Corporation	$2,366	971%
Prime Health	$2,416	991%
Careworks (Rockport Community)	$2,490	1021%
Molina Healthcare	$2,548 - $5,591	1045%
Sunshine State Health Plan	$3,419 - $5,281	1403%
Plotkin Health	$6,704 - $10,354	2750%
Prime Health Sheriff	$6,704 - $10,354	2750%
Multiplan	$10,056 - $17,602	4125%
Evernorth	$10,726 - $16,566	4400%
Ppo Next	$11,397 - $17,602	4675%
Novanet	$12,067 - $18,637	4950%
Beacon Health Options	$13,408 - $20,708	5500%

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 $17,025.
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 Osceola 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.