CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Brandon Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $680
Cash Discount Price: $2,835
vs. Medicare Baseline: 6.37x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Brandon Hospital is $680. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,835. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.37x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.

Cash / Self-Pay

$2,835

Average discount available for prompt cash payment at this facility.

Insurance Median

$680

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: $2,835 (2654%)

Insurance Median: $680 (637%)

Cash: $2,835 (2654% of Medicare)

Ins. Median: $680 (637% 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 637% of the Medicare baseline (a markup of 537%). 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	$133	125%
Access 2 Healthcare Physicians Freedom Health	$204	191%
Access 2 Healthcare Physicians Optimum	$204	191%
Freedom Health Care	$221	207%
Optimum Healthcare	$221	207%
Avmed	$227 - $709	213%
United	$245 - $1,276	229%
Corvel Corporation	$391	366%
Rockport Healthcare Group	$391	366%
Prime Health	$399	374%
Simply Healthcare	$437	409%
Molina	$539 - $765	505%
Evolutions Healthcare Systems	$652 - $2,608	610%
Sunshine State Health Plan	$723	677%
Humana	$794	743%
Aetna	$850	796%
Beacon Health Options	$1,417	1327%
Plotkin Health	$1,417	1327%
Prime Health Sheriff	$1,417	1327%
Multiplan	$2,126 - $2,410	1990%
Evernorth	$2,268	2123%

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 $2,835.
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 Brandon 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.