CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida St Petersburg Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $697
Cash Discount Price: $2,948
vs. Medicare Baseline: 6.53x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida St Petersburg Hospital is $697. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,948. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.53x the Medicare baseline. Located in 6500 38Th Ave N, Saint Petersburg, FL.

Cash / Self-Pay

$2,948

Average discount available for prompt cash payment at this facility.

Insurance Median

$697

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: $2,948 (2760%)

Insurance Median: $697 (653%)

Cash: $2,948 (2760% of Medicare)

Ins. Median: $697 (653% 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 653% of the Medicare baseline (a markup of 553%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$129 - $148	121%
Access 2 Healthcare Physicians Freedom Health	$198 - $226	185%
Access 2 Healthcare Physicians Optimum	$198 - $226	185%
Freedom Health Care	$215 - $245	201%
Optimum Healthcare	$215 - $245	201%
Avmed	$220 - $786	206%
United	$245 - $1,414	229%
Corvel Corporation	$391	366%
Rockport Healthcare Group	$391	366%
Prime Health	$399	374%
Simply Healthcare	$424 - $484	397%
Molina	$523 - $849	490%
Evolutions Healthcare Systems	$633 - $2,892	593%
Sunshine State Health Plan	$702 - $802	657%
Humana	$771 - $880	722%
Aetna	$826 - $943	773%
Plotkin Health	$1,377 - $1,572	1289%
Prime Health Sheriff	$1,377 - $1,572	1289%
Multiplan	$2,065 - $2,672	1933%

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 $2,948.
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 St Petersburg 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.