CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: UF Health Shands Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $100
  • Cash Discount Price: $368
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at UF Health Shands Hospital is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $368. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.12x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$368

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

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: $368 (414%)
Insurance Median: $100 (112%)
Cash: $368 (414% of Medicare)
Ins. Median: $100 (112% 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
Beacon Health Strategies $39 44%
Humana $39 - $92 44%
Sunshine State Health Plan $39 44%
UnitedHealthcare $39 - $95 44%
Aetna $41 - $551 46%
Florida Community Care $41 46%
Amerihealth Caritas Florida $43 48%
Community Care Plan $43 48%
Molina $43 48%
Simply Healthcare $45 51%
Blue Cross Blue Shield $88 - $299 99%
Vha $88 99%
Capital Health Plan $91 - $334 102%
North Central Hospice $91 102%
Wellcare $91 102%
Careplus $94 106%
Carelon Health $96 108%
Positive Healthcare Partners $97 109%
Ahf Mco Of Fl $100 112%
Devoted Health Plan $100 112%
Freedom Health- Inc./Optimum Healthcare- Inc. $100 112%
Ghilcrest County $110 124%
Levy County $110 124%
Wellpath $141 159%
Ambetter / Centene $147 165%
Florida Health Care Plan $159 179%
Uaa $255 287%
Northeast Fl Hospital $294 331%
Avmed $376 - $424 423%
Health First $468 526%
Prime Health Services $468 526%
Cigna $499 561%
Archbold Medical Center $502 565%
Genex $502 565%
Corvel Corp $569 640%
Geha $602 677%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals