CMS Price Transparency Data

MRI, knee or other leg joint

Facility: HCA Florida Raulerson Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $3,533
  • Cash Discount Price: $16,177
  • vs. Medicare Baseline: 14.49x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at HCA Florida Raulerson Hospital is $3,533. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,177. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.49x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$16,177

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,533

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: $16,177 (6636%)
Insurance Median: $3,533 (1449%)
Cash: $16,177 (6636% of Medicare)
Ins. Median: $3,533 (1449% 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 1449% of the Medicare baseline (a markup of 1349%). 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 - $9,705 212%
Freedom Health $928 - $1,855 381%
Optimum $928 - $1,855 381%
Avmed $1,088 - $10,784 446%
Simply Healthcare Plans $1,402 - $2,804 575%
Aetna $1,499 - $6,470 615%
Molina $2,049 - $5,823 841%
Corvel Corporation $2,223 912%
Careworks (Rockport) $2,270 931%
Prime Health $2,270 931%
Health Sun Health Plan $2,297 - $4,594 942%
Sunshine State Health Plan $2,750 - $5,500 1128%
United Ppo $4,746 - $9,489 1947%
Plotkin Health $5,393 - $10,784 2212%
Prime Health Sherriff $5,393 - $10,784 2212%
Multiplan $8,090 - $18,332 3319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals