CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $837
Cash Discount Price: $3,314
vs. Medicare Baseline: 9.41x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at HCA Florida Sarasota Doctors Hospital is $837. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,314. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.41x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.

Cash / Self-Pay

$3,314

Average discount available for prompt cash payment at this facility.

Insurance Median

$837

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: $3,314 (3727%)

Insurance Median: $837 (941%)

Cash: $3,314 (3727% of Medicare)

Ins. Median: $837 (941% 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 941% of the Medicare baseline (a markup of 841%). 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	$156	175%
United	$182 - $1,491	205%
Access 2 Healthcare Physicians Freedom Health	$239	269%
Access 2 Healthcare Physicians Optimum	$239	269%
Freedom Health Care	$259	291%
Optimum Healthcare	$259	291%
Avmed	$265 - $829	298%
Corvel Corporation	$422	475%
Rockport Healthcare Group	$422	475%
Prime Health	$431	485%
Simply Healthcare	$510	574%
Molina	$630 - $895	709%
Evolutions Healthcare Systems	$762 - $3,049	857%
Sunshine State Health Plan	$845	950%
Humana	$928	1044%
Aetna	$994	1118%
Behealthy America	$1,293	1454%
Beacon Health Options	$1,657	1864%
Healthcare Sarasota	$1,657	1864%
Plotkin Health	$1,657	1864%
Prime Health Sheriff	$1,657	1864%
Multiplan	$2,486 - $2,817	2796%
Evernorth	$2,651	2982%

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 $3,314.
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 Sarasota Doctors 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.