CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $1,362
Cash Discount Price: $3,120
vs. Medicare Baseline: 12.75x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Fort Walton-Destin Hospital is $1,362. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,120. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.75x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$3,120

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,362

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: $3,120 (2921%)

Insurance Median: $1,362 (1275%)

Cash: $3,120 (2921% of Medicare)

Ins. Median: $1,362 (1275% 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 1275% of the Medicare baseline (a markup of 1175%). 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
United	$245 - $1,750	229%
Simply	$362 - $599	339%
Corvel Corporation	$389	364%
Prime Health	$397	372%
Careworks (Rockport Community)	$410	384%
Molina Healthcare	$447 - $1,245	419%
Avmed	$564 - $1,945	528%
Sunshine State Health Plan	$599 - $992	561%
Aetna	$705 - $1,167	660%
Humana	$893 - $1,478	836%
Plotkin Health	$1,175 - $1,945	1100%
Prime Health Sheriff	$1,175 - $1,945	1100%
Evolutions Healthcare	$1,528 - $3,501	1431%
Naphcare	$1,528 - $2,528	1431%
Multiplan	$1,833 - $3,306	1716%
Evernorth	$1,880 - $3,112	1760%
Ppo Next	$1,998 - $3,306	1871%
Novanet	$2,115 - $3,501	1980%
Beacon Health Options	$2,350 - $3,890	2200%

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 $3,120.
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 Fort Walton-Destin 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.