CMS Price Transparency Data

X-ray, pelvis

Facility: St Lucie Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $501
Cash Discount Price: $1,928
vs. Medicare Baseline: 4.69x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at St Lucie Medical Center is $501. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,928. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.69x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.

Cash / Self-Pay

$1,928

Average discount available for prompt cash payment at this facility.

Insurance Median

$501

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: $1,928 (1805%)

Insurance Median: $501 (469%)

Cash: $1,928 (1805% of Medicare)

Ins. Median: $501 (469% 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 469% of the Medicare baseline (a markup of 369%). 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
Freedom Health	$166 - $308	155%
Optimum	$166	155%
United	$245 - $868	229%
Avmed	$251 - $964	235%
Simply Healthcare Plans	$251	235%
Molina	$366 - $521	343%
Corvel Corporation	$401	375%
Careworks (Rockport)	$410	384%
Prime Health	$410	384%
Health Sun Health Plan	$411	385%
Sunshine State Health Plan	$492	461%
Aetna	$578	541%
Humana	$713 - $771	668%
United Ppo	$848	794%
Plotkin Health	$964	903%
Prime Health Sherriff	$964	903%
Multiplan	$1,446 - $1,639	1354%

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 $1,928.
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 St Lucie Medical Center 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.