CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: North Shore Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $89
  • Cash Discount Price: $1,884
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at North Shore Medical Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,884. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.00x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$1,884

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

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: $1,884 (2119%)
Insurance Median: $89 (100%)
Cash: $1,884 (2119% of Medicare)
Ins. Median: $89 (100% 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.

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 $16 - $1,356 18%
Dimension Health Wc $29 33%
Workers Compensation $29 33%
Avmed Broad Network $34 38%
Humana $36 - $170 40%
Medicaid / KanCare $36 - $1,884 40%
UnitedHealthcare $36 - $85 40%
Healthsun Health Plans $42 - $89 47%
Imagine Health $46 52%
Employer Direct Healthcare $50 - $87 56%
Self Pay/Uninsured $50 - $107 56%
Oscar Health Plan Hix $57 64%
Veterans Administration Mill Bill $60 67%
Medicare (plans) $77 - $1,884 87%
Devoted Health $85 96%
Leon Health Inc $85 96%
Tricare $86 97%
Hospice Other $87 98%
Veterans Administration Vaccn $87 98%
Cigna $89 - $942 100%
Longevity Health Plan $91 102%
Florida Pace Centers $102 115%
Bright Health Management Commercial $104 117%
Centurion Prison $107 120%
Bc/Bs Myblue Hmo Hix $144 162%
Avmed Exchange $152 171%
Bc/Bs Of Fl Simplyblue $152 171%
Ambetter / Centene $160 180%
Molina Marketplace Program Exchange $165 186%
Auto Insurance $173 195%
Avmed Select Network $177 199%
Amerihealth Caritas Next Exchange $186 209%
Bc/Bs Of Fl Network Blue $190 214%
Bc/Bs Of Fl Health Options Hmo $193 217%
Bc/Bs Of Fl Ppo $203 228%
Bc/Bs Of Fl Blue Select Exchange Non Par $211 237%
Bc/Bs Of Fl Phs $976 1098%
Magellan Behavioral Health $1,130 1271%
Dimensions International $1,224 1377%
First Health $1,281 1441%
Dimension Health Ppo $1,413 1589%
Beacon Health Strategies Commercial $1,884 2119%
Commercial Non-Contracted $1,884 2119%
Self Pay - Mcd Pending 100 Percent $1,884 2119%
Single Case Agreement $1,884 2119%
United Behavioral Health Psych $1,884 2119%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals