CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Coral Gables Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $289
  • Cash Discount Price: $8,347
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Coral Gables Hospital is $289. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,347. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.19x the Medicare baseline. Located in 3100 Douglas Rd, Coral Gables, FL.
Cash / Self-Pay
$8,347

Average discount available for prompt cash payment at this facility.

Insurance Median
$289

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: $8,347 (3424%)
Insurance Median: $289 (119%)
Cash: $8,347 (3424% of Medicare)
Ins. Median: $289 (119% 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
Humana $154 - $468 63%
Medicaid / KanCare $154 - $162 63%
UnitedHealthcare $156 - $234 64%
Veterans Administration Mill Bill $164 67%
Avmed Broad Network $196 80%
Aetna $200 - $7,512 82%
Medicare (plans) $211 - $511 87%
Dimension Health Wc $216 89%
Healthsun Health Plans $216 - $246 89%
Workers Compensation $216 89%
Leon Health Inc $233 96%
Devoted Health $234 96%
Tricare $235 96%
Catholic Hospice $238 98%
Employer Direct Healthcare $238 - $261 98%
Hcr Manor Care Services Of Fl Ii Dba Heartland Hospice Services $238 98%
Hospice Other $238 98%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $238 98%
Opus Care Of South Florida $238 98%
Seasons Hospice And Palliative Care Of Southern Florida Inc $238 98%
Veterans Administration Vaccn $238 98%
Vitas Healthcare Corporation/Hospice Ppo $238 98%
Cigna $246 - $2,945 101%
Longevity Health Plan $248 102%
Imagine Health $251 103%
Self Pay/Uninsured $257 - $292 105%
Florida Pace Centers $281 115%
Bright Health Management Commercial $285 117%
Oscar Health Plan Hix $299 123%
Naphcare Inc $328 135%
Avmed Exchange $416 171%
Ambetter / Centene $440 180%
Molina Marketplace Program Exchange $453 186%
Auto Insurance $476 195%
Avmed Select Network $487 200%
Amerihealth Caritas Next Exchange $511 210%
Bc/Bs Of Fl Miami Dade Blue Select $520 213%
Bc/Bs Of Fl Network Blue $669 274%
Bc/Bs Of Fl Health Options Hmo $671 275%
Bc/Bs Myblue Hmo Hix $690 283%
Bc/Bs Of Fl Ppo $722 296%
Bc/Bs Of Fl Simplyblue $726 298%
Bc/Bs Of Fl Blue Select Exchange Non Par $735 302%
Bc/Bs Of Fl Phs $3,586 - $5,380 1471%
Dimension International $4,340 - $6,510 1780%
First Health $4,741 - $7,111 1945%
Dimension Health Ppo $5,008 - $7,512 2054%
Commercial Non-Contracted $6,677 - $10,016 2739%
Self Pay - Mcd Pending 100 Percent $6,677 - $10,016 2739%
Single Case Agreement $6,677 - $10,016 2739%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Douglas Rd, Coral Gables, FL 33134
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals