CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $1,151
Cash Discount Price: $3,028
vs. Medicare Baseline: 10.78x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Gulf Coast Hospital is $1,151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,028. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.78x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.

Cash / Self-Pay

$3,028

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,151

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: $3,028 (2835%)

Insurance Median: $1,151 (1078%)

Cash: $3,028 (2835% of Medicare)

Ins. Median: $1,151 (1078% 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 1078% of the Medicare baseline (a markup of 978%). 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 - $1,384	229%
Corvel Corporation	$359	336%
Prime Health	$366	343%
Careworks (Rockport Community)	$378	354%
Simply	$459 - $474	430%
Molina Healthcare	$566 - $984	530%
Avmed	$715 - $1,538	669%
Sunshine State Health Plan	$760 - $784	712%
Aetna	$894 - $923	837%
Humana	$1,133 - $1,169	1061%
Plotkin Health	$1,490 - $1,538	1395%
Prime Health Sheriff	$1,490 - $1,538	1395%
Multiplan	$2,325 - $2,614	2177%
Ppo Next	$2,534 - $2,614	2372%
Novanet	$2,683 - $2,768	2512%

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 $3,028.
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 Gulf Coast 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.