CPT73721

MRI Knee Cost in Florida

Mri jnt of lwr extre w/o dye

$448Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Florida Medicare physician rate (2026)

+1.6% vs national

Average of 3 localities. Office range $199.00–$215.46.

Florida (Hospital)
$207.78
Facility physician fee
Private plan est.
$270–$416
~130–200% of Medicare
Cash / self-pay est.
$166–$312
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$336
$204 physician + $131 facility
Physician fee alone
$204
Only 46% of the hospital total

Choosing a surgery centre over a hospital saves about $112 on the Medicare allowed amount for mri knee. Ask whether your procedure can be done at an ambulatory surgery centre.

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Florida

Because Florida uses multiple localities, check your ZIP code specifically, whether you are in Miami, Fort Lauderdale, West Palm Beach, Orlando, Tampa Bay, Jacksonville, or the Panhandle.

What mri knee costs at hospitals near you

Everything above is a national average. The hospital you pick in Florida moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Florida

National office$204.41
National hospital (physician)$204.41
Florida vs nationalwithin 2% of the national office rate of $204.41

Where Florida ranks for this CPT

Rank (lowest physician fee first)#38 of 51
Lowest stateArkansas ($180.77)
Highest stateAlaska ($235.33)

CPT 73721 by Florida locality

LocalityOffice
miami$215.46
fort lauderdale$208.89
rest of florida$199.00

PE GPCI ranges from 0.956 to 1.041 in Florida. That index is why the same CPT is not one price statewide.

MRI Knee and how Florida is priced

Florida is split into a handful of Medicare payment localities rather than priced statewide: Miami carries its own high-cost locality, the Fort Lauderdale area is separately priced, and the remainder of the state, from Jacksonville to the Panhandle, shares rest-of-state pricing. That structure means South Florida procedures carry higher Medicare-approved amounts than identical care in Orlando, Tampa, or rural North Florida. The Miami locality in particular ranks among the more expensive in the eastern United States. For a state with this many Medicare beneficiaries, knowing which locality your ZIP falls in is genuinely useful.

Florida has the nation's most Medicare-driven health economy, and its markets are intensely competitive in the big retiree corridors along both coasts. South Florida is known for high utilization and a dense supply of specialists, while inland and Panhandle counties can be thin on subspecialty care. Seasonal residents should note that prices follow where care is delivered, so a winter procedure in Naples prices differently than one back home up north.

This procedure: A knee MRI without contrast (the lower extremity joint MRI code) shows the menisci, ligaments including the ACL, cartilage, and bone marrow, none of which appear on X-ray. It is the definitive test for suspected meniscus tears and ligament injuries. You lie on your back with the knee in a small coil for 20 to 40 minutes of painless but noisy scanning, and results typically reach your doctor within a couple of days.

What Is MRI Knee?

A knee MRI without contrast (the lower extremity joint MRI code) shows the menisci, ligaments including the ACL, cartilage, and bone marrow, none of which appear on X-ray. It is the definitive test for suspected meniscus tears and ligament injuries. You lie on your back with the knee in a small coil for 20 to 40 minutes of painless but noisy scanning, and results typically reach your doctor within a couple of days.

What Affects the Cost

  • The hospital versus freestanding center price gap for knee MRI is large and well documented; this is a scan worth shopping.
  • Insurer authorization rules often require an X-ray and a trial of conservative care first, adding upstream visits.
  • A confirmed meniscus or ligament tear frequently leads to arthroscopy, so the MRI often begins a bigger spending episode.
  • In patients over about 50, MRI often shows incidental degenerative findings that can prompt further, sometimes unnecessary, care.
  • The radiologist's interpretation fee is a distinct component of the price.

Questions to Ask Before Booking

  • 1.Has my insurer approved this scan, and does my chart show the X-ray and conservative care they require?
  • 2.What is the all-in price at the freestanding centers near me?
  • 3.Given my age, could therapy first make this MRI unnecessary?
  • 4.Is the authorization tied to a specific facility?
  • 5.If the MRI shows a tear, what are the typical next steps and their costs?

MRI Knee in Florida: questions

The 2026 Medicare physician office rate for CPT 73721 averages $207.78 across 3 Florida localities, from $199.00 in REST OF FLORIDA to $215.46 in MIAMI. The hospital physician rate averages $207.78. Enter a ZIP for the exact locality.

Yes. CMS splits Florida into 3 payment localities. For this CPT the office physician fee spans $16.46 from the lowest to highest locality. Because Florida uses multiple localities, check your ZIP code specifically, whether you are in Miami, Fort Lauderdale, West Palm Beach, Orlando, Tampa Bay, Jacksonville, or the Panhandle.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $42 for the office physician line or $42 for the hospital physician line in Florida. Medigap may cover that 20%. This is not the hospital facility fee.

No. $207.78 is only the physician's share. Adding Medicare's facility payment brings the total to about $448 in a hospital outpatient department, or about $336 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Florida ranks #38 of 51 states on the physician line (within 2% of the national office rate of $204.41).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.