CMS Price Transparency Data

CT scan, pelvis

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $2,474
Cash Discount Price: $18,189
vs. Medicare Baseline: 23.16x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at HCA Florida Pasadena Hospital A Part of HCA Florid is $2,474. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,189. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 23.16x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

$18,189

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,474

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: $18,189 (17029%)

Insurance Median: $2,474 (2316%)

Cash: $18,189 (17029% of Medicare)

Ins. Median: $2,474 (2316% 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 2316% of the Medicare baseline (a markup of 2216%). 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 - $8,185	229%
Avmed	$738 - $1,863	691%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$855	800%
Aetna	$913 - $5,457	855%
Access 2 Healthcare Physicians Freedom Health	$1,310	1226%
Access 2 Healthcare Physicians Optimum	$1,310	1226%
Freedom Health Care	$1,419	1329%
Optimum Healthcare	$1,419	1329%
Corvel Corporation	$2,448	2292%
Rockport Healthcare Group	$2,448	2292%
Prime Health	$2,500	2341%
Simply Healthcare	$2,801	2622%
Molina	$3,456 - $4,911	3236%
Sunshine State Health Plan	$4,638	4342%
Evolutions Healthcare Systems	$9,094 - $16,734	8514%
Plotkin Health	$9,094	8514%
Prime Health Sheriff	$9,094	8514%
Multiplan	$13,642 - $15,460	12772%

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 $18,189.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Pasadena Hospital A Part of HCA Florid is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72192.
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.