CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Sarasota Memorial Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $41
  • Cash Discount Price: $409
  • vs. Medicare Baseline: 0.46x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Sarasota Memorial Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $409. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.46x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.
Cash / Self-Pay
$409

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $409 (460%)
Insurance Median: $41 (46%)
Cash: $409 (460% of Medicare)
Ins. Median: $41 (46% 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
Amerihealth Caritas Oncology $6 - $17 7%
Community Care Plan Oncology $6 - $17 7%
Molina Oncology $6 - $17 7%
Simply Healthcare Oncology $6 - $17 7%
Sunshine State Oncology $6 - $17 7%
Florida Community Care Oncology $8 - $34 9%
Blue Cross Blue Shield $10 - $88 11%
UnitedHealthcare $11 - $768 12%
Wellcare Oncology $11 - $29 12%
Aetna $12 - $818 13%
Simply Freedom Optimum Oncology $12 - $30 13%
Oscar Oncology $18 - $46 20%
Ambetter / Centene $28 - $239 31%
Simply Healthcare $36 - $37 40%
Sunshine State $37 42%
Molina $38 43%
Amerihealth Caritas $39 44%
Community Care Plan $39 44%
Florida Community Care $39 - $97 44%
Simply Freedom Optimum $93 105%
Wellcare $93 105%
Careworks $280 - $460 315%
Enlyte $280 - $460 315%
Avmed $559 - $746 629%
Usa Managed Care $613 - $818 689%
First Health $636 - $848 715%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S Tamiami Trl, Sarasota, FL 34239
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals