CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Wellington Regional Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $469
Cash Discount Price: $5,159
vs. Medicare Baseline: 1.92x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Wellington Regional Medical Center is $469. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,159. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.92x the Medicare baseline. Located in 10101 Forest Hill Blvd, Wellington, FL.

Cash / Self-Pay

$5,159

Average discount available for prompt cash payment at this facility.

Insurance Median

$469

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: $5,159 (2116%)

Insurance Median: $469 (192%)

Cash: $5,159 (2116% of Medicare)

Ins. Median: $469 (192% 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.

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
Av_Med	$140	57%
Humana	$233	96%
Blue_Cross_Blue_Shield_Of_Fl	$238 - $414	98%
Aetna	$290	119%
United_Healthcare	$524	215%
Cigna	$722 - $1,774	296%
Multiplan	$2,446 - $6,010	1003%

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 $5,159.
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 Wellington Regional 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.