CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: HCA Florida Kendall Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $3,797
Cash Discount Price: $15,281
vs. Medicare Baseline: 35.55x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at HCA Florida Kendall Hospital is $3,797. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,281. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 35.55x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$15,281

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,797

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $15,281 (14307%)

Insurance Median: $3,797 (3555%)

Cash: $15,281 (14307% of Medicare)

Ins. Median: $3,797 (3555% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 3555% of the Medicare baseline (a markup of 3455%). 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
United	$245 - $6,876	229%
Aetna	$809 - $4,584	757%
Avmed	$845 - $7,640	791%
Freedom Health	$1,314 - $2,445	1230%
Optimum	$1,314	1230%
Simply Healthcare Plans	$1,987	1860%
Corvel Corporation	$2,509	2349%
Careworks (Rockport)	$2,562	2399%
Prime Health	$2,562	2399%
Molina	$2,903 - $4,126	2718%
Health Sun Health Plan	$3,255	3047%
Aids Healthcare	$3,362 - $18,337	3148%
Mmm Of Fl (Health Advantage Plan)	$3,515	3291%
United Ppo	$3,622	3391%
Sunshine State Health Plan	$3,973	3720%
Plotkin Health	$7,640	7153%
Prime Health Sherriff	$7,640	7153%
Medica Healthcare	$8,863	8298%
Multiplan	$11,461 - $12,989	10730%
Evernorth Bh	$12,225	11446%

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 $15,281.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72125.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Kendall Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72125.
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.