CMS Price Transparency Data

MRI, knee or other leg joint

Facility: St Lucie Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,513
Cash Discount Price: $7,845
vs. Medicare Baseline: 10.31x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at St Lucie Medical Center is $2,513. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,845. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.31x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.

Cash / Self-Pay

$7,845

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,513

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: $7,845 (3218%)

Insurance Median: $2,513 (1031%)

Cash: $7,845 (3218% of Medicare)

Ins. Median: $2,513 (1031% 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 1031% of the Medicare baseline (a markup of 931%). 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 - $3,530	212%
Freedom Health	$675	277%
Optimum	$675	277%
Simply Healthcare Plans	$1,020	418%
Avmed	$1,088 - $3,922	446%
Molina	$1,491 - $2,118	612%
Aetna	$1,499 - $2,354	615%
Health Sun Health Plan	$1,671	685%
Sunshine State Health Plan	$2,000	820%
Corvel Corporation	$2,461	1010%
Careworks (Rockport)	$2,513	1031%
Prime Health	$2,513	1031%
United Ppo	$3,452	1416%
Plotkin Health	$3,922	1609%
Prime Health Sherriff	$3,922	1609%
Multiplan	$5,884 - $6,668	2414%

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 $7,845.
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 St Lucie Medical Center 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.