CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Florida Aventura Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,582
Cash Discount Price: $9,101
vs. Medicare Baseline: 10.59x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Florida Aventura Hospital is $2,582. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,101. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.59x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$9,101

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,582

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: $9,101 (3733%)

Insurance Median: $2,582 (1059%)

Cash: $9,101 (3733% of Medicare)

Ins. Median: $2,582 (1059% 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 1059% of the Medicare baseline (a markup of 959%). 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 - $4,915	212%
Freedom Health	$626 - $1,748	257%
Optimum	$626 - $939	257%
Simply Healthcare Plans	$946 - $1,420	388%
Avmed	$1,034 - $5,461	424%
Aetna	$1,116 - $3,277	458%
Molina	$1,237 - $2,949	507%
Health Sun Health Plan	$1,550 - $2,326	636%
Aids Healthcare	$1,601 - $13,106	657%
Mmm Of Fl (Health Advantage Plan)	$1,674 - $2,512	687%
United Ppo	$1,725 - $2,589	708%
Sunshine State Health Plan	$1,893 - $2,840	777%
Corvel Corporation	$2,575	1056%
Careworks (Rockport)	$2,630	1079%
Prime Health	$2,630	1079%
Plotkin Health	$3,640 - $5,461	1493%
Prime Health Sherriff	$3,640 - $5,461	1493%
Medica Healthcare	$4,222 - $6,335	1732%
Multiplan	$5,459 - $9,284	2239%
Evernorth Bh	$5,823 - $8,738	2389%

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 $9,101.
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 Aventura 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.