CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Mercy Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $461
Cash Discount Price: $1,774
vs. Medicare Baseline: 4.32x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Mercy Hospital is $461. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,774. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.32x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$1,774

Average discount available for prompt cash payment at this facility.

Insurance Median

$461

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: $1,774 (1661%)

Insurance Median: $461 (432%)

Cash: $1,774 (1661% of Medicare)

Ins. Median: $461 (432% 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 432% of the Medicare baseline (a markup of 332%). 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	$153 - $284	143%
Optimum	$153	143%
Avmed	$213 - $887	199%
Simply Healthcare Plans	$231	216%
United	$245 - $798	229%
Molina	$337 - $479	316%
Humana	$373 - $603	349%
Health Sun Health Plan	$378	354%
Aids Healthcare	$390 - $2,129	365%
Mmm Of Fl (Health Advantage Plan)	$408	382%
Corvel Corporation	$420	393%
United Ppo	$420	393%
Careworks (Rockport)	$429	402%
Prime Health	$429	402%
Sunshine State Health Plan	$461	432%
Aetna	$532	498%
Plotkin Health	$887	830%
Prime Health Sherriff	$887	830%
Medica Healthcare	$1,047	980%
Multiplan	$1,330 - $1,508	1245%
Evernorth Bh	$1,419	1329%

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 $1,774.
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 Mercy 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.