CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida South Tampa Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $628
Cash Discount Price: $2,616
vs. Medicare Baseline: 5.88x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida South Tampa Hospital is $628. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,616. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.88x the Medicare baseline. Located in 2901 W Swann Ave, Tampa, FL.

Cash / Self-Pay

$2,616

Average discount available for prompt cash payment at this facility.

Insurance Median

$628

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: $2,616 (2449%)

Insurance Median: $628 (588%)

Cash: $2,616 (2449% of Medicare)

Ins. Median: $628 (588% 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 588% of the Medicare baseline (a markup of 488%). 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	$123	115%
Access 2 Healthcare Physicians Freedom Health	$188	176%
Access 2 Healthcare Physicians Optimum	$188	176%
Freedom Health Care	$204	191%
Optimum Healthcare	$204	191%
Avmed	$209 - $654	196%
United	$245 - $1,177	229%
Corvel Corporation	$391	366%
Rockport Healthcare Group	$391	366%
Prime Health	$399	374%
Simply Healthcare	$403	377%
Molina	$497 - $706	465%
Evolutions Healthcare Systems	$602 - $2,407	564%
Sunshine State Health Plan	$667	624%
Humana	$733	686%
Aetna	$785	735%
Beacon Health Options	$1,308	1225%
Plotkin Health	$1,308	1225%
Prime Health Sheriff	$1,308	1225%
Multiplan	$1,962 - $2,224	1837%
Evernorth	$2,093	1960%

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 $2,616.
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 South Tampa 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.