CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Florida West Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,929
  • Cash Discount Price: $6,165
  • vs. Medicare Baseline: 12.02x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Florida West Hospital is $2,929. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,165. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 12.02x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.
Cash / Self-Pay
$6,165

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,929

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: $6,165 (2529%)
Insurance Median: $2,929 (1202%)
Cash: $6,165 (2529% of Medicare)
Ins. Median: $2,929 (1202% 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 1202% of the Medicare baseline (a markup of 1102%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $2,774 212%
Freedom Health $783 321%
Simply $949 389%
Molina Healthcare $1,171 - $1,973 480%
Aetna $1,256 - $1,885 515%
Sunshine State Health Plan $1,572 645%
Corvel Corporation $2,270 931%
Prime Health $2,318 951%
Careworks (Rockport Community) $2,390 980%
Avmed $3,083 - $3,418 1265%
Plotkin Health $3,083 1265%
Prime Health Sheriff $3,083 1265%
Evolutions Healthcare $4,007 - $5,241 1644%
Multiplan $4,809 - $5,241 1973%
Evernorth $4,932 2023%
Ppo Next $5,241 2150%
Novanet $5,549 2276%
Beacon Health Options $6,165 2529%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8383 N Davis Hwy, Pensacola, FL 32514
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals