CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Twin Cities Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $1,519
Cash Discount Price: $3,997
vs. Medicare Baseline: 14.22x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Twin Cities Hospital is $1,519. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,997. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.22x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.

Cash / Self-Pay

$3,997

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,519

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: $3,997 (3742%)

Insurance Median: $1,519 (1422%)

Cash: $3,997 (3742% of Medicare)

Ins. Median: $1,519 (1422% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1422% of the Medicare baseline (a markup of 1322%). 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	$245 - $1,799	229%
Corvel Corporation	$389	364%
Prime Health	$397	372%
Careworks (Rockport Community)	$410	384%
Simply	$616	577%
Molina Healthcare	$759 - $1,279	711%
Avmed	$959 - $1,998	898%
Sunshine State Health Plan	$1,019	954%
Aetna	$1,199	1123%
Humana	$1,519	1422%
Plotkin Health	$1,998	1871%
Prime Health Sheriff	$1,998	1871%
Evolutions Healthcare	$2,598 - $3,397	2432%
Multiplan	$3,118 - $3,397	2919%
Ppo Next	$3,397	3180%
Novanet	$3,597	3368%

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 $3,997.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Twin Cities Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72170.
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.