CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Larkin Community Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $93
  • Cash Discount Price: $707
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Larkin Community Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $707. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.05x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$707

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $707 (795%)
Insurance Median: $93 (105%)
Cash: $707 (795% of Medicare)
Ins. Median: $93 (105% 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
Medicaid / KanCare $25 - $37 28%
Corvel Mcaid Workers Comp $32 36%
Sunshine Behavioral $32 36%
Aetna $36 - $1,010 40%
Ambetter / Centene $36 40%
Community Care Phks Mcaid-All Other Plans $36 40%
Florida Comm Care Mcaid $36 40%
Humana $36 - $1,010 40%
Magellan Complete Care $36 40%
Molina Exch Marketplace-All Other Plans $36 40%
UnitedHealthcare $36 - $119 40%
Blue Cross Blue Shield $84 - $619 94%
Florida Comm Care Mcare-All Other Plans $88 99%
Medicare (plans) $88 - $1,060 99%
Ops Maritime-All Plans $88 99%
Opus Hospice Ip Only-All Plans $88 99%
Preferred Care Partners Mcare-All Plans $88 99%
Clear Springs Hlth-All Plans $93 105%
Unicare Simply Mcare Ppo-All Plans $93 105%
Wellpath-All Plans $97 109%
Fci-All Plans $102 115%
Allianz (Azga)-All Plans $115 129%
Cigna $252 283%
Healthsun-All Plans $303 341%
Star Network-All Plans $404 454%
Jmh Health Plan Hmo/Ppo-All Other Plans $556 625%
Global Excel-All Plans $606 682%
Haa Preferred Partners-All Plans $606 682%
Corvel Mcare Workers Comp-All Plans $909 1022%
Avmed-All Plans $1,010 1136%
Careplus Health-All Other Plans $1,010 1136%
Centurion-All Plans $1,010 1136%
Coventry Comml-All Plans $1,010 1136%
Doctors Healthcare-All Plans $1,010 1136%
First Med Hp Of Fl-All Plans $1,010 1136%
Florida Health Solution/Hmo-All Plans $1,010 1136%
Bright Health-All Other Plans $1,212 1363%
Oscar Health-All Plans $2,020 2272%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals