CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida South Shore Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $499
Cash Discount Price: $2,094
vs. Medicare Baseline: 4.67x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida South Shore Hospital is $499. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,094. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.67x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.

Cash / Self-Pay

$2,094

Average discount available for prompt cash payment at this facility.

Insurance Median

$499

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: $2,094 (1960%)

Insurance Median: $499 (467%)

Cash: $2,094 (1960% of Medicare)

Ins. Median: $499 (467% 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 467% of the Medicare baseline (a markup of 367%). 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	$93 - $104	87%
Access 2 Healthcare Physicians Freedom Health	$142 - $159	133%
Access 2 Healthcare Physicians Optimum	$142 - $159	133%
Freedom Health Care	$154 - $172	144%
Optimum Healthcare	$154 - $172	144%
Avmed	$158 - $553	148%
United	$245 - $995	229%
Simply Healthcare	$304 - $340	285%
Molina	$376 - $597	352%
Corvel Corporation	$391	366%
Rockport Healthcare Group	$391	366%
Prime Health	$399	374%
Evolutions Healthcare Systems	$455 - $2,034	426%
Sunshine State Health Plan	$504 - $564	472%
Humana	$554 - $619	519%
Aetna	$593 - $663	555%
Plotkin Health	$989 - $1,105	926%
Prime Health Sheriff	$989 - $1,105	926%
Multiplan	$1,483 - $1,879	1388%

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 $2,094.
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 South Shore 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.