CMS Price Transparency Data

X-ray, pelvis

Facility: Baptist Medical Center - Nassau

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $171
  • Cash Discount Price: $275
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Baptist Medical Center - Nassau is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $275. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.60x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$275

Average discount available for prompt cash payment at this facility.

Insurance Median
$171

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: $275 (257%)
Insurance Median: $171 (160%)
Cash: $275 (257% of Medicare)
Ins. Median: $171 (160% 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 $21 - $434 20%
Coventry Workers Comp $21 - $434 20%
Amerigroup Of Georgia $36 34%
Daniel Memorial $36 34%
Humana $36 34%
Nassaua County Sheriff'S Office $36 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 $107 100%
Pace $107 100%
Tomorrow'S Rainbow $107 100%
Va Ccn $107 100%
UnitedHealthcare $108 - $218 101%
Devoted $113 106%
Upmc $117 110%
Blue Cross Blue Shield $128 - $288 120%
Avmed $142 - $332 133%
Borland Groover $177 166%
Occunet $177 166%
Northeast Florida State Hospital $186 174%
Centivo $195 - $377 183%
Capital Health Plan $204 191%
Geo Group $222 208%
Watchtower $244 228%
Ambetter / Centene $256 240%
Fscj Student Insurance $266 249%
Savannah Grand Of Amelia Island $266 249%
Cigna $275 - $338 257%
Suddath Company $279 261%
Medicaid / KanCare $288 270%
Peach State Health Plan $288 270%
Phcs $332 311%
Evolutions Healthcare $399 374%
Multiplan $399 374%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals