CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $8,959
Cash Discount Price: $20,999
vs. Medicare Baseline: 36.75x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Florida Fort Walton-Destin Hospital is $8,959. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20,999. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 36.75x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$20,999

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,959

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: $20,999 (8614%)

Insurance Median: $8,959 (3675%)

Cash: $20,999 (8614% of Medicare)

Ins. Median: $8,959 (3675% 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 3675% of the Medicare baseline (a markup of 3575%). 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 - $12,599	212%
Simply	$2,156 - $4,312	884%
Corvel Corporation	$2,388	980%
Prime Health	$2,438	1000%
Careworks (Rockport Community)	$2,513	1031%
Molina Healthcare	$2,660 - $8,959	1091%
Avmed	$3,110 - $13,999	1276%
Aetna	$3,399 - $8,399	1394%
Sunshine State Health Plan	$3,570 - $7,139	1464%
Plotkin Health	$7,000 - $13,999	2872%
Prime Health Sheriff	$7,000 - $13,999	2872%
Evolutions Healthcare	$9,100 - $25,198	3733%
Naphcare	$9,100 - $18,199	3733%
Multiplan	$10,920 - $23,798	4480%
Evernorth	$11,200 - $22,398	4594%
Ppo Next	$11,900 - $23,798	4882%
Novanet	$12,600 - $25,198	5169%
Beacon Health Options	$14,000 - $27,998	5743%

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 $20,999.
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 Fort Walton-Destin 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.