CMS Price Transparency Data

X-ray, pelvis

Facility: University Hospital and Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $834
Cash Discount Price: $3,208
vs. Medicare Baseline: 7.81x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at University Hospital and Medical Center is $834. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,208. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.81x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$3,208

Average discount available for prompt cash payment at this facility.

Insurance Median

$834

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: $3,208 (3003%)

Insurance Median: $834 (781%)

Cash: $3,208 (3003% of Medicare)

Ins. Median: $834 (781% 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 781% of the Medicare baseline (a markup of 681%). 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 - $1,444	229%
Freedom Health	$276 - $513	258%
Optimum	$276	258%
Avmed	$417 - $1,604	390%
Simply Healthcare Plans	$417	390%
Corvel Corporation	$423	396%
Careworks (Rockport)	$432	404%
Prime Health	$432	404%
Molina	$610 - $866	571%
Humana	$674 - $1,091	631%
Health Sun Health Plan	$683	639%
Mmm Of Fl (Health Advantage Plan)	$738	691%
United Ppo	$760	712%
Sunshine State Health Plan	$847	793%
Aetna	$962	901%
Plotkin Health	$1,604	1502%
Prime Health Sherriff	$1,604	1502%
Medica Healthcare	$1,861	1742%
Multiplan	$2,406 - $2,727	2253%
Evernorth Bh	$2,566	2402%

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 $3,208.
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 University Hospital and Medical Center 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.