CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Santa Rosa Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $311
  • Cash Discount Price: $3,322
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Santa Rosa Medical Center is $311. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,322. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.28x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$3,322

Average discount available for prompt cash payment at this facility.

Insurance Median
$311

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: $3,322 (1363%)
Insurance Median: $311 (128%)
Cash: $3,322 (1363% of Medicare)
Ins. Median: $311 (128% 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
Medicaid / KanCare $153 - $178 63%
Humana $158 - $245 65%
Wellcare $161 66%
Molina $173 71%
Fl Community Care $176 72%
Veterans Eval Services $228 94%
Tricare $237 97%
Aetna $245 - $7,455 101%
Blue Cross Blue Shield $245 - $2,412 101%
Cigna $245 - $3,003 101%
Medicare (plans) $245 101%
UnitedHealthcare $245 - $2,578 101%
Hospice Of Nw Fl $249 102%
Node Champva $249 102%
Node Va $249 102%
Node Wellcare Mcr Adv $257 105%
Geo Group $311 128%
Node Us Dept Of Labor $311 128%
Prime Health Work Comp Fl $401 164%
Florida Workers Compensation $413 169%
Oscar $462 190%
Florida State Auto Insurance $498 204%
Ambetter / Centene $596 244%
Self Pay $3,056 1254%
Prime Health Services $10,631 4361%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals