CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HCA Florida Twin Cities Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $1,879
Cash Discount Price: $4,945
vs. Medicare Baseline: 21.13x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at HCA Florida Twin Cities Hospital is $1,879. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,945. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 21.13x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.

Cash / Self-Pay

$4,945

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,879

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: $4,945 (5562%)

Insurance Median: $1,879 (2113%)

Cash: $4,945 (5562% of Medicare)

Ins. Median: $1,879 (2113% 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 2113% of the Medicare baseline (a markup of 2013%). 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
United	$182 - $2,225	205%
Corvel Corporation	$420	472%
Prime Health	$429	483%
Careworks (Rockport Community)	$442	497%
Simply	$762	857%
Molina Healthcare	$940 - $1,582	1057%
Avmed	$1,187 - $2,472	1335%
Sunshine State Health Plan	$1,261	1418%
Aetna	$1,484	1669%
Humana	$1,879	2113%
Plotkin Health	$2,472	2780%
Prime Health Sheriff	$2,472	2780%
Evolutions Healthcare	$3,214 - $4,203	3615%
Multiplan	$3,857 - $4,203	4338%
Ppo Next	$4,203	4727%
Novanet	$4,450	5005%

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 $4,945.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Twin Cities Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72040.
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.