CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Kendall Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $550
Cash Discount Price: $2,116
vs. Medicare Baseline: 5.15x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Kendall Hospital is $550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,116. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.15x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$2,116

Average discount available for prompt cash payment at this facility.

Insurance Median

$550

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: $2,116 (1981%)

Insurance Median: $550 (515%)

Cash: $2,116 (1981% of Medicare)

Ins. Median: $550 (515% 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 515% of the Medicare baseline (a markup of 415%). 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	$182 - $339	170%
Optimum	$182	170%
United	$245 - $952	229%
Avmed	$254 - $1,058	238%
Simply Healthcare Plans	$275	257%
Molina	$402 - $571	376%
Corvel Corporation	$420	393%
Careworks (Rockport)	$429	402%
Prime Health	$429	402%
Humana	$444 - $719	416%
Health Sun Health Plan	$451	422%
Aids Healthcare	$466 - $2,539	436%
Mmm Of Fl (Health Advantage Plan)	$487	456%
United Ppo	$501	469%
Sunshine State Health Plan	$550	515%
Aetna	$635	595%
Plotkin Health	$1,058	991%
Prime Health Sherriff	$1,058	991%
Medica Healthcare	$1,227	1149%
Multiplan	$1,587 - $1,799	1486%
Evernorth Bh	$1,693	1585%

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 $2,116.
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 Kendall 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.