CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HCA Florida Osceola Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $801
Cash Discount Price: $2,538
vs. Medicare Baseline: 9.01x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at HCA Florida Osceola Hospital is $801. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,538. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.01x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$2,538

Average discount available for prompt cash payment at this facility.

Insurance Median

$801

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: $2,538 (2855%)

Insurance Median: $801 (901%)

Cash: $2,538 (2855% of Medicare)

Ins. Median: $801 (901% 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 901% of the Medicare baseline (a markup of 801%). 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
Freedom Health	$169 - $197	190%
Optimum	$169 - $197	190%
United	$182 - $1,230	205%
Avmed	$187 - $1,366	210%
Simply	$361 - $421	406%
Corvel Corporation	$416	468%
Prime Health	$425	478%
Careworks (Rockport Community)	$438	493%
Molina Healthcare	$445 - $738	501%
Evolutions	$539 - $629	606%
Sunshine State Health Plan	$597 - $697	671%
Humana	$656 - $765	738%
Aetna	$703 - $820	791%
Plotkin Health	$1,171 - $1,366	1317%
Prime Health Sheriff	$1,171 - $1,366	1317%
Multiplan	$1,757 - $2,323	1976%
Evernorth	$1,874 - $2,186	2108%
Ppo Next	$1,991 - $2,323	2239%
Novanet	$2,108 - $2,459	2371%
Beacon Health Options	$2,342 - $2,733	2634%

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 $2,538.
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 Osceola 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.