CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HCA Florida Kendall Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $1,084
Cash Discount Price: $4,169
vs. Medicare Baseline: 12.19x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at HCA Florida Kendall Hospital is $1,084. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,169. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 12.19x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$4,169

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,084

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: $4,169 (4689%)

Insurance Median: $1,084 (1219%)

Cash: $4,169 (4689% of Medicare)

Ins. Median: $1,084 (1219% 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 1219% of the Medicare baseline (a markup of 1119%). 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	$182 - $1,876	205%
Freedom Health	$359 - $667	404%
Optimum	$359	404%
Corvel Corporation	$453	510%
Careworks (Rockport)	$463	521%
Prime Health	$463	521%
Avmed	$500 - $2,084	562%
Simply Healthcare Plans	$542	610%
Molina	$792 - $1,126	891%
Humana	$875 - $1,417	984%
Health Sun Health Plan	$888	999%
Aids Healthcare	$917 - $5,003	1031%
Mmm Of Fl (Health Advantage Plan)	$959	1079%
United Ppo	$988	1111%
Sunshine State Health Plan	$1,084	1219%
Aetna	$1,251	1407%
Plotkin Health	$2,084	2344%
Prime Health Sherriff	$2,084	2344%
Medica Healthcare	$2,418	2720%
Multiplan	$3,127 - $3,544	3517%
Evernorth Bh	$3,335	3751%

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 $4,169.
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 Kendall 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.