CMS Price Transparency Data

X-ray, pelvis

Facility: Larkin Community Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $107
  • Cash Discount Price: $271
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Larkin Community Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $271. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$271

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $271 (254%)
Insurance Median: $107 (100%)
Cash: $271 (254% of Medicare)
Ins. Median: $107 (100% 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
Medicare (plans) $6 - $798 6%
Jipa Network-All Plans $8 7%
Aetna $9 - $760 8%
Clear Springs Hlth-All Plans $9 - $112 8%
Fci-All Plans $9 - $123 8%
Global Excel-All Plans $9 - $456 8%
Medicaid / KanCare $9 - $37 8%
Fdc-All Plans $10 9%
UnitedHealthcare $11 - $144 10%
Avmed-All Plans $13 - $760 12%
Bright Health-All Other Plans $13 - $912 12%
Coventry Comml-All Plans $13 - $760 12%
Corvel Mcaid Workers Comp $32 30%
Sunshine Behavioral $32 30%
Ambetter / Centene $36 34%
Community Care Phks Mcaid-All Other Plans $36 34%
Florida Comm Care Mcaid $36 34%
Humana $36 - $760 34%
Magellan Complete Care $36 34%
Molina Exch Marketplace-All Other Plans $36 34%
Blue Cross Blue Shield $101 - $619 95%
Florida Comm Care Mcare-All Other Plans $107 100%
Ops Maritime-All Plans $107 100%
Opus Hospice Ip Only-All Plans $107 100%
Preferred Care Partners Mcare-All Plans $107 100%
Unicare Simply Mcare Ppo-All Plans $112 105%
Wellpath-All Plans $117 110%
Allianz (Azga)-All Plans $139 130%
Cigna $190 178%
Healthsun-All Plans $228 213%
Star Network-All Plans $304 285%
Jmh Health Plan Hmo/Ppo-All Other Plans $418 391%
Haa Preferred Partners-All Plans $456 427%
Corvel Mcare Workers Comp-All Plans $684 640%
Careplus Health-All Other Plans $760 712%
Centurion-All Plans $760 712%
Doctors Healthcare-All Plans $760 712%
First Med Hp Of Fl-All Plans $760 712%
Florida Health Solution/Hmo-All Plans $760 712%
Oscar Health-All Plans $1,520 1423%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals