CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Parrish Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $373
  • Cash Discount Price: $340
  • vs. Medicare Baseline: 4.20x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Parrish Medical Center is $373. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $340. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.20x the Medicare baseline. Located in 951 N Washington Ave, Titusville, FL.
Cash / Self-Pay
$340

Average discount available for prompt cash payment at this facility.

Insurance Median
$373

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $340 (382%)
Insurance Median: $373 (420%)
Cash: $340 (382% of Medicare)
Ins. Median: $373 (420% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 420% of the Medicare baseline (a markup of 320%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $36 - $442 40%
Freedom Health $36 - $89 40%
Healthease/Staywell Of Florida Inc $36 40%
Humana $36 - $425 40%
Medicaid / KanCare $36 - $373 40%
Sunshine State Health Plan $36 40%
Molina Healthcare Of Florida $37 42%
Corvel Healthcare Corporation $45 - $454 51%
Florida Health Care Plan $65 73%
Veterans $68 76%
Webtpa $88 99%
Health First Health Plans $89 - $850 100%
Medicare (plans) $89 100%
Cigna $91 - $595 102%
Tricare $91 102%
UnitedHealthcare $94 - $586 106%
Careplus Health Plans Inc. $117 132%
Florida Health Care Plan Commercial $128 - $514 144%
Blue Cross Blue Shield $148 - $343 166%
Auto $182 205%
Pmc Hpi Employee Plan $323 363%
Pmc Preferred Benefit Administrators $323 363%
Florida Mhs Inc $373 420%
Simply Healthcare Plans $373 420%
Brevard County Commissioners $408 459%
Brevard School Board $408 459%
Coventry Healthcare $765 860%
Coventry Helthcare Inc $765 860%
First Health Group Corp $765 860%
Beech Street Corporation $808 909%
Multiplan Inc $808 909%
Private Healthcare Systems Inc $808 909%
Early Steps $850 956%
No Contract $850 956%
Self Pay $850 956%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 951 N Washington Ave, Titusville, FL 32796
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals