CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Northwest Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $444
Cash Discount Price: $1,706
vs. Medicare Baseline: 4.16x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Northwest Hospital is $444. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,706. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.16x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$1,706

Average discount available for prompt cash payment at this facility.

Insurance Median

$444

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: $1,706 (1597%)

Insurance Median: $444 (416%)

Cash: $1,706 (1597% of Medicare)

Ins. Median: $444 (416% 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 416% of the Medicare baseline (a markup of 316%). 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	$147 - $273	138%
Optimum	$147	138%
Avmed	$222 - $853	208%
Simply Healthcare Plans	$222	208%
United	$245 - $768	229%
Molina	$324 - $461	303%
Humana	$358 - $580	335%
Health Sun Health Plan	$363	340%
Mmm Of Fl (Health Advantage Plan)	$392	367%
United Ppo	$404	378%
Corvel Corporation	$423	396%
Careworks (Rockport)	$432	404%
Prime Health	$432	404%
Sunshine State Health Plan	$450	421%
Aetna	$512	479%
Blis	$597	559%
Plotkin Health	$853	799%
Prime Health Sherriff	$853	799%
Medica Healthcare	$989	926%
Multiplan	$1,280 - $1,450	1198%

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 $1,706.
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 Northwest 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.