CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Florida Blake Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $1,868
Cash Discount Price: $7,278
vs. Medicare Baseline: 7.66x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Florida Blake Hospital is $1,868. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,278. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.66x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.

Cash / Self-Pay

$7,278

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,868

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: $7,278 (2986%)

Insurance Median: $1,868 (766%)

Cash: $7,278 (2986% of Medicare)

Ins. Median: $1,868 (766% 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 766% of the Medicare baseline (a markup of 666%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$228 - $456	94%
Access 2 Healthcare Physicians Freedom Health	$349 - $699	143%
Access 2 Healthcare Physicians Optimum	$349 - $699	143%
Freedom Health Care	$378 - $757	155%
Optimum Healthcare	$378 - $757	155%
United	$518 - $4,367	212%
Simply Healthcare	$825 - $1,650	338%
Molina	$922 - $2,620	378%
Avmed	$1,080 - $3,418	443%
Aetna	$1,101 - $2,911	452%
Sunshine State Health Plan	$1,237 - $2,475	507%
Behealthy America	$1,892 - $3,785	776%
Corvel Corporation	$2,398	984%
Rockport Healthcare Group	$2,398	984%
Plotkin Health	$2,426 - $4,852	995%
Prime Health Sheriff	$2,426 - $4,852	995%
Prime Health	$2,448	1004%
Evolutions Healthcare Systems	$2,911 - $8,928	1194%
Multiplan	$3,639 - $8,249	1493%

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 $7,278.
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 Blake 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.