CMS Price Transparency Data

X-ray, pelvis

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $150
  • Cash Discount Price: $264
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Larkin Community Hospital Palm Springs Campus is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $264. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.40x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$264

Average discount available for prompt cash payment at this facility.

Insurance Median
$150

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $264 (247%)
Insurance Median: $150 (140%)
Cash: $264 (247% of Medicare)
Ins. Median: $150 (140% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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.

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
Bright Health Commercial - All Other Plans $9 - $131 8%
Clear Springs Health - All Plans $9 - $115 8%
Medicare (plans) $9 - $742 8%
Aetna $36 - $109 34%
Florida Community Care Mcaid-All Plans $36 34%
Miami Childrens Hp Mcaid-All Plans $36 34%
Simply Healthcare Mcaid $36 34%
Sunshine Mcaid $36 34%
United Mcaid $36 34%
Wellcare Mcaid $36 34%
Ambetter / Centene $109 102%
Blue Cross Blue Shield $109 - $619 102%
Opus Hospice Ip Only - All Plans $109 102%
Unicare Simply Mcare Ppo - All Plans $115 108%
Ccs - All Plans $147 138%
Fdc - All Plans $153 143%
Cigna $186 174%
Humana $223 - $742 209%
Wellcare Comm (Choice) - All Other Plans $371 347%
Leon Med Center Mcr Adv - All Plans $668 625%
Careplus Health - All Other Plans $742 695%
Centurion Doc - All Plans $742 695%
Doctors Healthcare - All Plans $742 695%
Florida Health Solution/Hmo - All Plans $742 695%
Preferred Care Partners Mcr - All Plans $742 695%
Simply Healthcare Mcr - All Other Plans $742 695%
UnitedHealthcare $742 695%
Naphcare - All Plans $853 799%
Oscar Health-All Plans $1,484 1389%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 W 49Th St, Hialeah, FL 33012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals