CMS Price Transparency Data

CT scan, pelvis

Facility: HCA Florida Capital Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $4,629
Cash Discount Price: $9,740
vs. Medicare Baseline: 43.34x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at HCA Florida Capital Hospital is $4,629. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,740. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 43.34x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.

Cash / Self-Pay

$9,740

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,629

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: $9,740 (9119%)

Insurance Median: $4,629 (4334%)

Cash: $9,740 (9119% of Medicare)

Ins. Median: $4,629 (4334% 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 4334% of the Medicare baseline (a markup of 4234%). 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 - $4,600	229%
Aetna	$1,258 - $3,067	1178%
Simply	$1,426 - $1,574	1335%
Avmed	$1,695 - $5,111	1587%
Molina Healthcare	$1,759 - $3,271	1647%
Corvel Corporation	$2,244	2101%
Prime Health	$2,291	2145%
Sunshine State Health Plan	$2,361 - $2,607	2210%
Careworks (Rockport Community)	$2,362	2211%
Plotkin Health	$4,629 - $5,111	4334%
Prime Health Sheriff	$4,629 - $5,111	4334%
Multiplan	$7,221 - $8,689	6761%
Evernorth	$7,406 - $8,178	6934%
Evolutions Healthcare	$7,869 - $8,689	7367%
Ppo Next	$7,869 - $8,689	7367%
Novanet	$8,332 - $9,200	7801%
Beacon Health Options	$9,258 - $10,222	8668%

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 $9,740.
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 Capital 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.