CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Fawcett Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $617
Cash Discount Price: $2,570
vs. Medicare Baseline: 5.78x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Fawcett Hospital is $617. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,570. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.78x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.

Cash / Self-Pay

$2,570

Average discount available for prompt cash payment at this facility.

Insurance Median

$617

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: $2,570 (2406%)

Insurance Median: $617 (578%)

Cash: $2,570 (2406% of Medicare)

Ins. Median: $617 (578% 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 578% of the Medicare baseline (a markup of 478%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$121	113%
Access 2 Healthcare Physicians Freedom Health	$185	173%
Access 2 Healthcare Physicians Optimum	$185	173%
Freedom Health Care	$200	187%
Optimum Healthcare	$200	187%
Avmed	$206 - $642	193%
United	$245 - $1,156	229%
Corvel Corporation	$379	355%
Rockport Healthcare Group	$379	355%
Prime Health	$387	362%
Simply Healthcare	$396	371%
Molina	$488 - $694	457%
Evolutions Healthcare Systems	$591 - $2,364	553%
Sunshine State Health Plan	$655	613%
Humana	$720	674%
Aetna	$771	722%
Behealthy America	$1,002	938%
Healthcare Sarasota	$1,285	1203%
Plotkin Health	$1,285	1203%
Prime Health Sheriff	$1,285	1203%
Multiplan	$1,927 - $2,184	1804%

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 $2,570.
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 Fawcett 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.