CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Putnam Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $501
Cash Discount Price: $2,065
vs. Medicare Baseline: 4.69x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Putnam Hospital is $501. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,065. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.69x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.

Cash / Self-Pay

$2,065

Average discount available for prompt cash payment at this facility.

Insurance Median

$501

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: $2,065 (1933%)

Insurance Median: $501 (469%)

Cash: $2,065 (1933% of Medicare)

Ins. Median: $501 (469% 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 469% of the Medicare baseline (a markup of 369%). 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 - $929	229%
Avmed	$248 - $1,032	232%
Simply	$318	298%
Humana	$351	329%
Corvel Corporation	$362	339%
Prime Health	$370	346%
Careworks (Rockport Community)	$381	357%
Molina Healthcare	$392 - $661	367%
Evolutions	$475	445%
Sunshine State Health Plan	$526	492%
Aetna	$619	580%
Plotkin Health	$1,032	966%
Prime Health Sheriff	$1,032	966%
Multiplan	$1,610 - $1,755	1507%

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 $2,065.
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 Putnam 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.