CMS Price Transparency Data

CT scan, pelvis

Facility: HCA Florida West Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $4,626
Cash Discount Price: $14,923
vs. Medicare Baseline: 43.31x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at HCA Florida West Hospital is $4,626. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,923. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 43.31x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.

Cash / Self-Pay

$14,923

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,626

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: $14,923 (13972%)

Insurance Median: $4,626 (4331%)

Cash: $14,923 (13972% of Medicare)

Ins. Median: $4,626 (4331% 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 4331% of the Medicare baseline (a markup of 4231%). 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 - $6,715	229%
Aetna	$1,258 - $4,477	1178%
Avmed	$1,695 - $7,462	1587%
Freedom Health	$1,895	1774%
Simply	$2,298	2151%
Corvel Corporation	$2,318	2170%
Prime Health	$2,367	2216%
Careworks (Rockport Community)	$2,440	2284%
Molina Healthcare	$2,835 - $4,775	2654%
Sunshine State Health Plan	$3,805	3562%
Plotkin Health	$7,462	6986%
Prime Health Sheriff	$7,462	6986%
Evolutions Healthcare	$9,700 - $12,685	9082%
Multiplan	$11,640 - $12,685	10898%
Evernorth	$11,938	11177%
Ppo Next	$12,685	11876%
Novanet	$13,431	12575%
Beacon Health Options	$14,923	13972%

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 $14,923.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida West Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72192.
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.