CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HCA Florida St Petersburg Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $529
Cash Discount Price: $2,238
vs. Medicare Baseline: 5.95x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at HCA Florida St Petersburg Hospital is $529. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,238. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.95x the Medicare baseline. Located in 6500 38Th Ave N, Saint Petersburg, FL.

Cash / Self-Pay

$2,238

Average discount available for prompt cash payment at this facility.

Insurance Median

$529

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: $2,238 (2517%)

Insurance Median: $529 (595%)

Cash: $2,238 (2517% of Medicare)

Ins. Median: $529 (595% 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 595% of the Medicare baseline (a markup of 495%). 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	$98 - $112	110%
Access 2 Healthcare Physicians Freedom Health	$151 - $172	170%
Access 2 Healthcare Physicians Optimum	$151 - $172	170%
Freedom Health Care	$163 - $186	183%
Optimum Healthcare	$163 - $186	183%
Avmed	$167 - $596	188%
United	$182 - $1,073	205%
Simply Healthcare	$322 - $367	362%
Molina	$397 - $644	447%
Corvel Corporation	$422	475%
Rockport Healthcare Group	$422	475%
Prime Health	$431	485%
Evolutions Healthcare Systems	$481 - $2,194	541%
Sunshine State Health Plan	$533 - $608	599%
Humana	$586 - $668	659%
Aetna	$627 - $715	705%
Plotkin Health	$1,046 - $1,192	1176%
Prime Health Sheriff	$1,046 - $1,192	1176%
Multiplan	$1,568 - $2,027	1764%

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 $2,238.
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 St Petersburg 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.