CMS Price Transparency Data

CT scan, pelvis

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $2,500
Cash Discount Price: $15,585
vs. Medicare Baseline: 23.41x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at HCA Florida Sarasota Doctors Hospital is $2,500. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,585. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 23.41x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.

Cash / Self-Pay

$15,585

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,500

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: $15,585 (14591%)

Insurance Median: $2,500 (2341%)

Cash: $15,585 (14591% of Medicare)

Ins. Median: $2,500 (2341% 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 2341% of the Medicare baseline (a markup of 2241%). 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 - $7,013	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$732	685%
Avmed	$738 - $1,863	691%
Aetna	$848 - $4,675	794%
Access 2 Healthcare Physicians Freedom Health	$1,122	1050%
Access 2 Healthcare Physicians Optimum	$1,122	1050%
Freedom Health Care	$1,216	1138%
Optimum Healthcare	$1,216	1138%
Simply Healthcare	$2,400	2247%
Corvel Corporation	$2,448	2292%
Rockport Healthcare Group	$2,448	2292%
Prime Health	$2,500	2341%
Molina	$2,961 - $4,208	2772%
Sunshine State Health Plan	$3,974	3721%
Behealthy America	$6,078	5690%
Beacon Health Options	$7,792	7295%
Plotkin Health	$7,792	7295%
Prime Health Sheriff	$7,792	7295%
Evolutions Healthcare Systems	$8,572 - $14,338	8025%
Multiplan	$11,689 - $13,247	10944%
Evernorth	$12,468	11673%

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 $15,585.
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 Sarasota Doctors Hospital 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.