CMS Price Transparency Data

X-ray, pelvis

Facility: South Florida Baptist Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $308
Cash Discount Price: $473
vs. Medicare Baseline: 2.88x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at South Florida Baptist Hospital is $308. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $473. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.88x the Medicare baseline. Located in 301 N Alexander St, Plant City, FL.

Cash / Self-Pay

$473

Average discount available for prompt cash payment at this facility.

Insurance Median

$308

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: $473 (443%)

Insurance Median: $308 (288%)

Cash: $473 (443% of Medicare)

Ins. Median: $308 (288% 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 288% of the Medicare baseline (a markup of 188%). 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
Aetna	$25 - $642	23%
Clear Health Alliance	$36	34%
UnitedHealthcare	$36 - $709	34%
Freedom Health	$37	35%
Humana	$37 - $133	35%
Molina Healthcare	$37	35%
Simply Healthcare	$37 - $142	35%
Sunshine Health	$37	35%
Florida Community Care	$39	37%
Cigna	$56 - $686	52%
Baycareplus	$107	100%
Blue Cross Blue Shield	$107 - $417	100%
Solis Health	$117	110%
Molina	$142 - $466	133%
Wellcare	$149	140%
Freedom	$158	148%
Optimum	$158	148%
Careplus	$180	169%
Ultimate Health Plan	$236	221%
Ambetter / Centene	$240 - $788	225%
Avmed	$244 - $386	228%
Evolutions	$394 - $733	369%
First Health	$670	627%
Multiplan	$709	664%

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 $473.
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 South Florida Baptist 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.