CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Ucf Lake Nona Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $3,221
Cash Discount Price: $12,632
vs. Medicare Baseline: 13.21x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Ucf Lake Nona Hospital is $3,221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,632. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 13.21x the Medicare baseline. Located in 6700 Lake Nona Blvd, Orlando, FL.

Cash / Self-Pay

$12,632

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,221

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: $12,632 (5182%)

Insurance Median: $3,221 (1321%)

Cash: $12,632 (5182% of Medicare)

Ins. Median: $3,221 (1321% 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 1321% of the Medicare baseline (a markup of 1221%). 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 - $5,684	212%
Aetna	$1,580 - $3,790	648%
Avmed	$1,625 - $6,316	667%
Simply	$1,945	798%
Corvel Corporation	$2,366	971%
Molina Healthcare	$2,400 - $3,411	985%
Prime Health	$2,416	991%
Sunshine State Health Plan	$3,221	1321%
Plotkin Health	$6,316	2591%
Prime Health Sheriff	$6,316	2591%
Novanet	$11,369	4664%

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 $12,632.
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 Ucf Lake Nona 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.