CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Northside Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $939
Cash Discount Price: $4,172
vs. Medicare Baseline: 8.79x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Northside Hospital is $939. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,172. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.79x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.

Cash / Self-Pay

$4,172

Average discount available for prompt cash payment at this facility.

Insurance Median

$939

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: $4,172 (3906%)

Insurance Median: $939 (879%)

Cash: $4,172 (3906% of Medicare)

Ins. Median: $939 (879% 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 879% of the Medicare baseline (a markup of 779%). 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	$196	184%
United	$245 - $1,877	229%
Access 2 Healthcare Physicians Freedom Health	$300	281%
Access 2 Healthcare Physicians Optimum	$300	281%
Freedom Health Care	$325	304%
Optimum Healthcare	$325	304%
Avmed	$334 - $1,043	313%
Corvel Corporation	$391	366%
Rockport Healthcare Group	$391	366%
Prime Health	$399	374%
Simply Healthcare	$642	601%
Molina	$793 - $1,126	742%
Evolutions Healthcare Systems	$960 - $3,838	899%
Sunshine State Health Plan	$1,064	996%
Humana	$1,168	1094%
Aetna	$1,252	1172%
Plotkin Health	$2,086	1953%
Prime Health Sheriff	$2,086	1953%
Multiplan	$3,129 - $3,546	2930%

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 $4,172.
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 Northside 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.