CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HCA Florida Mercy Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $532
Cash Discount Price: $2,048
vs. Medicare Baseline: 5.98x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at HCA Florida Mercy Hospital is $532. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,048. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.98x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$2,048

Average discount available for prompt cash payment at this facility.

Insurance Median

$532

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: $2,048 (2303%)

Insurance Median: $532 (598%)

Cash: $2,048 (2303% of Medicare)

Ins. Median: $532 (598% 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 598% of the Medicare baseline (a markup of 498%). 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	$176 - $328	198%
Optimum	$176	198%
United	$182 - $922	205%
Avmed	$246 - $1,024	277%
Simply Healthcare Plans	$266	299%
Molina	$389 - $553	438%
Humana	$430 - $696	484%
Health Sun Health Plan	$436	490%
Aids Healthcare	$451 - $2,458	507%
Corvel Corporation	$453	510%
Careworks (Rockport)	$463	521%
Prime Health	$463	521%
Mmm Of Fl (Health Advantage Plan)	$471	530%
United Ppo	$485	545%
Sunshine State Health Plan	$532	598%
Aetna	$614	691%
Plotkin Health	$1,024	1152%
Prime Health Sherriff	$1,024	1152%
Medica Healthcare	$1,208	1359%
Multiplan	$1,536 - $1,741	1728%
Evernorth Bh	$1,638	1842%

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 $2,048.
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 Mercy 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.