CMS Price Transparency Data

X-ray, pelvis

Facility: Larkin Community Hospital Behavioral Health Srvs

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $72
Cash Discount Price: $271
vs. Medicare Baseline: 0.67x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Larkin Community Hospital Behavioral Health Srvs is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $271. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.67x the Medicare baseline. Located in 1201 N 37Th Ave, Hollywood, FL.

Cash / Self-Pay

$271

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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: $271 (254%)

Insurance Median: $72 (67%)

Cash: $271 (254% of Medicare)

Ins. Median: $72 (67% 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.

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
Clear Spring Health-All Plans	$9 - $748	8%
Community Care Plan-All Plans	$13	12%
Medicaid / KanCare	$13 - $37	12%
Miami Childrens Hp-All Plans	$13 - $37	12%
Sunshine Behav Mcaid	$13 - $37	12%
Bright Hlth Mcr Adv	$106	99%
Bright Hlth Comm - All Other Plans	$112	105%
Magellan Healthcare-All Plans	$456	427%
Cigna	$532	498%
Longevity Mcr Adv-All Plans	$713	668%
Sunshine Behav Comm - All Other Plans	$713	668%
Aetna	$760	712%
Hma Mcr Adv	$820	768%

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 $271.
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 Larkin Community Hospital Behavioral Health Srvs 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.