CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Florida Kendall Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,950
Cash Discount Price: $11,871
vs. Medicare Baseline: 12.10x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Florida Kendall Hospital is $2,950. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,871. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 12.10x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$11,871

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,950

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: $11,871 (4870%)

Insurance Median: $2,950 (1210%)

Cash: $11,871 (4870% of Medicare)

Ins. Median: $2,950 (1210% 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 1210% of the Medicare baseline (a markup of 1110%). 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 - $5,342	212%
Freedom Health	$1,021 - $1,899	419%
Optimum	$1,021	419%
Avmed	$1,034 - $5,936	424%
Aetna	$1,116 - $3,561	458%
Simply Healthcare Plans	$1,543	633%
Molina	$2,255 - $3,205	925%
Health Sun Health Plan	$2,529	1037%
Corvel Corporation	$2,575	1056%
Aids Healthcare	$2,612 - $14,245	1072%
Careworks (Rockport)	$2,630	1079%
Prime Health	$2,630	1079%
Mmm Of Fl (Health Advantage Plan)	$2,730	1120%
United Ppo	$2,813	1154%
Sunshine State Health Plan	$3,086	1266%
Plotkin Health	$5,936	2435%
Prime Health Sherriff	$5,936	2435%
Medica Healthcare	$6,885	2824%
Multiplan	$8,903 - $10,090	3652%
Evernorth Bh	$9,497	3896%

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 $11,871.
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 Kendall 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.