CMS Price Transparency Data

X-ray, pelvis

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $186
  • Cash Discount Price: $301
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Baptist Health Medical Center - Jacksonville is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $301. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.74x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$301

Average discount available for prompt cash payment at this facility.

Insurance Median
$186

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: $301 (282%)
Insurance Median: $186 (174%)
Cash: $301 (282% of Medicare)
Ins. Median: $186 (174% 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
Corvel $19 - $434 18%
Coventry Workers Comp $19 - $434 18%
Non-Contracted $19 - $66 18%
Amerigroup Of Georgia $36 34%
Caresource Of Georgia $36 - $288 34%
Daniel Memorial $36 34%
Humana $36 - $39 34%
Peach State Health Plan $36 - $288 34%
Simply Healthcare Plans $37 - $43 35%
Simply Healthcare Plans - Cha $37 35%
Amerihealth Caritas $39 37%
Florida Community Care $39 - $112 37%
Sunshine State Health Plan $39 37%
United Community Plan $39 37%
Vivida Health $39 37%
Molina Healthcare Of Florida $42 39%
Aetna $43 - $354 40%
Community Hospice Of Northeast Florida $106 - $107 99%
Pace $106 - $107 99%
Tomorrow'S Rainbow $106 - $107 99%
UnitedHealthcare $106 - $232 99%
Va Ccn $106 - $107 99%
Devoted $113 106%
Upmc $117 110%
Blue Cross Blue Shield $128 - $26,575 120%
Avmed $142 - $230 133%
Cigna $173 - $270 162%
Borland Groover $177 166%
Occunet $177 - $222 166%
Northeast Florida State Hospital $186 - $208 174%
Centivo $195 - $377 183%
Capital Health Plan $204 191%
Innovative Healthware Services $208 195%
Geo Group $222 208%
Volusia Health Network $244 228%
Watchtower $244 228%
Ambetter / Centene $255 - $256 239%
Fscj Student Insurance $266 249%
Suddath Company $279 261%
Medicaid / KanCare $288 270%
Uf Health Proton Therapy Institute $310 290%
Phcs $332 - $354 311%
Evolutions Healthcare $399 374%
Multiplan $399 374%
Nemours Research $983 920%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals