CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Englewood Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $917
Cash Discount Price: $3,822
vs. Medicare Baseline: 8.59x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Englewood Hospital is $917. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,822. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.59x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.

Cash / Self-Pay

$3,822

Average discount available for prompt cash payment at this facility.

Insurance Median

$917

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: $3,822 (3578%)

Insurance Median: $917 (859%)

Cash: $3,822 (3578% of Medicare)

Ins. Median: $917 (859% 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 859% of the Medicare baseline (a markup of 759%). 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	$180	169%
United	$245 - $1,720	229%
Access 2 Healthcare Physicians Freedom Health	$275	257%
Access 2 Healthcare Physicians Optimum	$275	257%
Freedom Health Care	$298	279%
Optimum Healthcare	$298	279%
Avmed	$306 - $956	286%
Corvel Corporation	$391	366%
Rockport Healthcare Group	$391	366%
Prime Health	$399	374%
Simply Healthcare	$589	551%
Molina	$726 - $1,032	680%
Evolutions Healthcare Systems	$879 - $3,517	823%
Sunshine State Health Plan	$975	913%
Humana	$1,070	1002%
Aetna	$1,147	1074%
Behealthy America	$1,491	1396%
Healthcare Sarasota	$1,911	1789%
Plotkin Health	$1,911	1789%
Prime Health Sheriff	$1,911	1789%
Multiplan	$2,867 - $3,249	2684%

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 $3,822.
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 Englewood 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.