CMS Price Transparency Data

CT scan, pelvis

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $5,735
Cash Discount Price: $12,745
vs. Medicare Baseline: 53.69x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at HCA Florida Gulf Coast Hospital is $5,735. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,745. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 53.69x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.

Cash / Self-Pay

$12,745

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,735

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: $12,745 (11932%)

Insurance Median: $5,735 (5369%)

Cash: $12,745 (11932% of Medicare)

Ins. Median: $5,735 (5369% 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 5369% of the Medicare baseline (a markup of 5269%). 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 - $5,766	229%
Aetna	$1,258 - $3,844	1178%
Avmed	$1,695 - $6,407	1587%
Simply	$1,962 - $1,973	1837%
Corvel Corporation	$2,247	2104%
Prime Health	$2,294	2148%
Careworks (Rockport Community)	$2,365	2214%
Molina Healthcare	$2,421 - $4,100	2267%
Sunshine State Health Plan	$3,249 - $3,268	3042%
Plotkin Health	$6,371 - $6,407	5965%
Prime Health Sheriff	$6,371 - $6,407	5965%
Multiplan	$9,939 - $10,892	9305%
Ppo Next	$10,831 - $10,892	10140%
Novanet	$11,468 - $11,533	10737%

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 $12,745.
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 Gulf Coast 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.