CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: University of Miami Hospital and Clinics

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $713
Cash Discount Price: $321
vs. Medicare Baseline: 8.02x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at University of Miami Hospital and Clinics is $713. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $321. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.02x the Medicare baseline. Located in 1475 Nw 12Th Ave Suite 2175, Miami, FL.

Cash / Self-Pay

$321

Average discount available for prompt cash payment at this facility.

Insurance Median

$713

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: $321 (361%)

Insurance Median: $713 (802%)

Cash: $321 (361% of Medicare)

Ins. Median: $713 (802% 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 802% of the Medicare baseline (a markup of 702%). 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
UnitedHealthcare	$89 - $714	100%
Aetna	$96 - $653	108%
Solis Health	$98	110%
Humana	$101	114%
Sunshine Health	$278	313%
Careplus	$297	334%
Molina Healthcare Of Fl	$334	376%
Oscar Health Of Fl	$351	395%
Amerihealth Caritas Fl	$354	398%
Cigna	$515 - $620	579%
Curative	$630	709%
Avmed	$678 - $773	763%
Blue Cross Blue Shield	$708 - $973	796%
Employers Health Network	$713	802%
Simply Healthcare	$713	802%
First Health	$773	869%
Health First New York Health Insurance	$773	869%
Broward Health	$832	936%
Beech Street	$951	1070%
Dimension Health	$951	1070%
Multiplan	$951	1070%

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 $321.
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 University of Miami Hospital and Clinics 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.