CMS Price Transparency Data

CT scan, pelvis

Facility: HCA Florida South Shore Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $2,448
Cash Discount Price: $12,193
vs. Medicare Baseline: 22.92x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at HCA Florida South Shore Hospital is $2,448. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,193. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 22.92x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.

Cash / Self-Pay

$12,193

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,448

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: $12,193 (11416%)

Insurance Median: $2,448 (2292%)

Cash: $12,193 (11416% of Medicare)

Ins. Median: $2,448 (2292% 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 2292% of the Medicare baseline (a markup of 2192%). 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 - $5,864	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$534 - $613	500%
Avmed	$738 - $1,863	691%
Access 2 Healthcare Physicians Freedom Health	$817 - $938	765%
Access 2 Healthcare Physicians Optimum	$817 - $938	765%
Freedom Health Care	$886 - $1,017	830%
Optimum Healthcare	$886 - $1,017	830%
Aetna	$913 - $3,910	855%
Simply Healthcare	$1,748 - $2,007	1637%
Molina	$2,157 - $3,519	2019%
Corvel Corporation	$2,448	2292%
Rockport Healthcare Group	$2,448	2292%
Prime Health	$2,500	2341%
Sunshine State Health Plan	$2,895 - $3,323	2710%
Plotkin Health	$5,677 - $6,516	5315%
Prime Health Sheriff	$5,677 - $6,516	5315%
Evolutions Healthcare Systems	$6,244 - $11,990	5846%
Multiplan	$8,515 - $11,077	7972%

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 $12,193.
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 South Shore 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.