CMS Price Transparency Data

MRI, knee or other leg joint

Facility: UF Health Shands Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $274
  • Cash Discount Price: $1,581
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at UF Health Shands Hospital is $274. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,581. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.12x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$1,581

Average discount available for prompt cash payment at this facility.

Insurance Median
$274

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: $1,581 (649%)
Insurance Median: $274 (112%)
Cash: $1,581 (649% of Medicare)
Ins. Median: $274 (112% 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
Beacon Health Strategies $168 69%
Humana $168 - $252 69%
Sunshine State Health Plan $168 69%
UnitedHealthcare $168 - $259 69%
Aetna $176 - $2,368 72%
Florida Community Care $176 72%
Amerihealth Caritas Florida $184 75%
Community Care Plan $184 75%
Molina $184 75%
Simply Healthcare $194 80%
Blue Cross Blue Shield $243 - $1,572 100%
Vha $243 100%
Capital Health Plan $249 - $1,437 102%
North Central Hospice $249 102%
Wellcare $249 102%
Careplus $257 105%
Carelon Health $264 108%
Positive Healthcare Partners $267 110%
Ahf Mco Of Fl $274 112%
Devoted Health Plan $274 112%
Freedom Health- Inc./Optimum Healthcare- Inc. $274 112%
Ghilcrest County $303 124%
Levy County $303 124%
Wellpath $388 159%
Ambetter / Centene $403 165%
Florida Health Care Plan $437 179%
Uaa $1,095 449%
Northeast Fl Hospital $1,265 519%
Avmed $1,524 - $1,672 625%
Health First $2,012 825%
Prime Health Services $2,012 825%
Archbold Medical Center $2,156 884%
Genex $2,156 884%
Cigna $2,432 998%
Corvel Corp $2,443 1002%
Geha $2,587 1061%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals