CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Florida Mercy Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $3,446
Cash Discount Price: $13,254
vs. Medicare Baseline: 14.14x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Florida Mercy Hospital is $3,446. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,254. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.14x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$13,254

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,446

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: $13,254 (5437%)

Insurance Median: $3,446 (1414%)

Cash: $13,254 (5437% of Medicare)

Ins. Median: $3,446 (1414% 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 1414% of the Medicare baseline (a markup of 1314%). 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 - $6,441	212%
Freedom Health	$725 - $2,290	297%
Optimum	$725 - $1,231	297%
Avmed	$1,034 - $7,156	424%
Simply Healthcare Plans	$1,096 - $1,861	450%
Aetna	$1,116 - $4,294	458%
Molina	$1,601 - $3,865	657%
Health Sun Health Plan	$1,795 - $3,049	736%
Aids Healthcare	$1,854 - $17,176	761%
Mmm Of Fl (Health Advantage Plan)	$1,938 - $3,292	795%
United Ppo	$1,997 - $3,392	819%
Sunshine State Health Plan	$2,191 - $3,721	899%
Corvel Corporation	$2,575	1056%
Careworks (Rockport)	$2,630	1079%
Prime Health	$2,630	1079%
Plotkin Health	$4,214 - $7,156	1729%
Prime Health Sherriff	$4,214 - $7,156	1729%
Medica Healthcare	$4,973 - $8,445	2040%
Multiplan	$6,321 - $12,166	2593%
Evernorth Bh	$6,742 - $11,450	2766%

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 $13,254.
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 Mercy 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.