CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Osceola Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $1,027
Cash Discount Price: $3,253
vs. Medicare Baseline: 9.62x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Osceola Hospital is $1,027. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,253. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.62x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$3,253

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,027

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: $3,253 (3046%)

Insurance Median: $1,027 (962%)

Cash: $3,253 (3046% of Medicare)

Ins. Median: $1,027 (962% 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 962% of the Medicare baseline (a markup of 862%). 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
Freedom Health	$216 - $252	202%
Optimum	$216 - $252	202%
Avmed	$240 - $1,751	225%
United	$245 - $1,576	229%
Corvel Corporation	$386	361%
Prime Health	$394	369%
Careworks (Rockport Community)	$406	380%
Simply	$462 - $539	433%
Molina Healthcare	$571 - $946	535%
Evolutions	$691 - $806	647%
Sunshine State Health Plan	$766 - $893	717%
Humana	$841 - $981	787%
Aetna	$901 - $1,051	844%
Plotkin Health	$1,501 - $1,751	1405%
Prime Health Sheriff	$1,501 - $1,751	1405%
Multiplan	$2,252 - $2,977	2108%
Evernorth	$2,402 - $2,802	2249%
Ppo Next	$2,552 - $2,977	2389%
Novanet	$2,703 - $3,152	2531%
Beacon Health Options	$3,003 - $3,502	2812%

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 $3,253.
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 Osceola 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.