CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Florida Orange Park Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $11,190
Cash Discount Price: $27,838
vs. Medicare Baseline: 45.90x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Florida Orange Park Hospital is $11,190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27,838. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 45.90x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.

Cash / Self-Pay

$27,838

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,190

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: $27,838 (11420%)

Insurance Median: $11,190 (4590%)

Cash: $27,838 (11420% of Medicare)

Ins. Median: $11,190 (4590% 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 4590% of the Medicare baseline (a markup of 4490%). 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 - $14,886	212%
Aetna	$946 - $9,924	388%
Avmed	$1,508 - $3,418	619%
Optimum Healthcare	$2,070 - $2,779	849%
Corvel Corporation	$2,362	969%
Prime Health	$2,412	989%
Simply Healthcare	$3,795 - $5,094	1557%
Positive Healthcare	$5,422 - $7,277	2224%
Sunshine State Health Plan	$6,285 - $8,435	2578%
Molina Healthcare	$6,654 - $8,931	2730%
Medicare (plans)	$11,091 - $14,886	4550%
Plotkin Health	$12,323 - $16,540	5055%
Multiplan	$19,224 - $28,117	7886%
Evernorth	$19,717 - $26,463	8088%
Evolutions Healthcare	$19,717 - $28,117	8088%
Ppo Next	$20,949 - $28,117	8594%
Novanet	$22,181 - $29,771	9099%

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 $27,838.
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 Orange Park 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.