CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Larkin Community Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $279
  • Cash Discount Price: $4,161
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Larkin Community Hospital is $279. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,161. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.14x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$4,161

Average discount available for prompt cash payment at this facility.

Insurance Median
$279

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: $4,161 (1707%)
Insurance Median: $279 (114%)
Cash: $4,161 (1707% of Medicare)
Ins. Median: $279 (114% 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
Medicare (plans) $46 - $9,361 19%
Jipa Network-All Plans $64 26%
Aetna $65 - $8,915 27%
Fci-All Plans $65 - $279 27%
Global Excel-All Plans $65 - $5,349 27%
Clear Springs Hlth-All Plans $68 - $255 28%
Medicaid / KanCare $68 - $161 28%
Fdc-All Plans $75 31%
UnitedHealthcare $81 - $328 33%
Avmed-All Plans $98 - $8,915 40%
Bright Health-All Other Plans $98 - $10,698 40%
Coventry Comml-All Plans $98 - $8,915 40%
Corvel Mcaid Workers Comp $138 57%
Sunshine Behavioral $138 57%
Ambetter / Centene $153 63%
Community Care Phks Mcaid-All Other Plans $153 63%
Florida Comm Care Mcaid $153 63%
Humana $153 - $8,915 63%
Magellan Complete Care $153 63%
Molina Exch Marketplace-All Other Plans $153 63%
Blue Cross Blue Shield $230 - $2,263 94%
Florida Comm Care Mcare-All Other Plans $243 100%
Ops Maritime-All Plans $243 100%
Opus Hospice Ip Only-All Plans $243 100%
Preferred Care Partners Mcare-All Plans $243 100%
Unicare Simply Mcare Ppo-All Plans $255 105%
Wellpath-All Plans $267 110%
Allianz (Azga)-All Plans $315 129%
Healthsun-All Plans $550 226%
Cigna $630 258%
Jmh Health Plan Hmo/Ppo-All Other Plans $650 267%
Florida Health Solution/Hmo-All Plans $900 369%
Star Network-All Plans $2,378 - $3,566 976%
Haa Preferred Partners-All Plans $3,566 - $5,349 1463%
Corvel Mcare Workers Comp-All Plans $5,350 - $8,024 2195%
Careplus Health-All Other Plans $5,944 - $8,915 2438%
Centurion-All Plans $5,944 - $8,915 2438%
Doctors Healthcare-All Plans $5,944 - $8,915 2438%
First Med Hp Of Fl-All Plans $5,944 - $8,915 2438%
Oscar Health-All Plans $11,888 - $17,830 4877%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals