CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Florida Northwest Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $3,345
Cash Discount Price: $14,807
vs. Medicare Baseline: 13.72x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Florida Northwest Hospital is $3,345. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,807. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 13.72x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$14,807

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,345

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: $14,807 (6074%)

Insurance Median: $3,345 (1372%)

Cash: $14,807 (6074% of Medicare)

Ins. Median: $3,345 (1372% 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 1372% of the Medicare baseline (a markup of 1272%). 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 - $8,009	212%
Freedom Health	$1,016 - $2,848	417%
Optimum	$1,016 - $1,531	417%
Aetna	$1,060 - $5,339	435%
Avmed	$1,088 - $8,899	446%
Simply Healthcare Plans	$1,536 - $2,314	630%
Molina	$2,245 - $4,805	921%
Health Sun Health Plan	$2,517 - $3,791	1033%
Corvel Corporation	$2,597	1065%
Careworks (Rockport)	$2,651	1088%
Prime Health	$2,651	1088%
Mmm Of Fl (Health Advantage Plan)	$2,718 - $4,094	1115%
United Ppo	$2,800 - $4,218	1149%
Sunshine State Health Plan	$3,119 - $4,699	1279%
Blis	$4,136 - $6,229	1697%
Plotkin Health	$5,908 - $8,899	2424%
Prime Health Sherriff	$5,908 - $8,899	2424%
Medica Healthcare	$6,853 - $10,323	2811%
Multiplan	$8,862 - $15,128	3635%

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 $14,807.
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 Northwest 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.