CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $481
Cash Discount Price: $2,035
vs. Medicare Baseline: 5.41x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at HCA Florida Pasadena Hospital A Part of HCA Florid is $481. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,035. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.41x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

$2,035

Average discount available for prompt cash payment at this facility.

Insurance Median

$481

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: $2,035 (2289%)

Insurance Median: $481 (541%)

Cash: $2,035 (2289% of Medicare)

Ins. Median: $481 (541% 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 541% of the Medicare baseline (a markup of 441%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$89 - $102	100%
Access 2 Healthcare Physicians Freedom Health	$137 - $156	154%
Access 2 Healthcare Physicians Optimum	$137 - $156	154%
Freedom Health Care	$148 - $169	166%
Optimum Healthcare	$148 - $169	166%
Avmed	$152 - $542	171%
United	$182 - $976	205%
Simply Healthcare	$293 - $334	330%
Molina	$361 - $585	406%
Corvel Corporation	$422	475%
Rockport Healthcare Group	$422	475%
Prime Health	$431	485%
Evolutions Healthcare Systems	$437 - $1,995	492%
Sunshine State Health Plan	$485 - $553	545%
Humana	$532 - $607	598%
Aetna	$570 - $650	641%
Plotkin Health	$951 - $1,084	1070%
Prime Health Sheriff	$951 - $1,084	1070%
Multiplan	$1,426 - $1,843	1604%

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 $2,035.
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 Pasadena Hospital A Part of HCA Florid 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.