CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Jfk Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $969
Cash Discount Price: $4,403
vs. Medicare Baseline: 9.07x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Jfk Hospital is $969. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,403. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.07x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$4,403

Average discount available for prompt cash payment at this facility.

Insurance Median

$969

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: $4,403 (4122%)

Insurance Median: $969 (907%)

Cash: $4,403 (4122% of Medicare)

Ins. Median: $969 (907% 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 907% of the Medicare baseline (a markup of 807%). 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 - $1,981	229%
Freedom Health	$379 - $704	355%
Optimum	$379	355%
Corvel Corporation	$404	378%
Careworks (Rockport)	$413	387%
Prime Health	$413	387%
Healthy Palm Beaches	$550	515%
Avmed	$572 - $2,202	536%
Simply Healthcare Plans	$572	536%
Molina	$749 - $1,189	701%
Humana	$925 - $1,497	866%
Health Sun Health Plan	$938	878%
Aids Healthcare	$969 - $5,284	907%
Mmm Of Fl (Health Advantage Plan)	$1,013	948%
United Ppo	$1,044	977%
Sunshine State Health Plan	$1,145	1072%
Aetna	$1,321	1237%
Blis	$1,541	1443%
District Cares	$2,202	2062%
Plotkin Health	$2,202	2062%
Prime Health Sherriff	$2,202	2062%
Medica Healthcare	$2,598	2432%
Multiplan	$3,302 - $3,743	3091%
Evernorth Bh	$3,522	3297%

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 $4,403.
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 Jfk 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.