CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: University Hospital and Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $500
Cash Discount Price: $1,921
vs. Medicare Baseline: 5.62x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at University Hospital and Medical Center is $500. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,921. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.62x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$1,921

Average discount available for prompt cash payment at this facility.

Insurance Median

$500

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: $1,921 (2161%)

Insurance Median: $500 (562%)

Cash: $1,921 (2161% of Medicare)

Ins. Median: $500 (562% 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 562% of the Medicare baseline (a markup of 462%). 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	$165 - $307	186%
Optimum	$165	186%
United	$182 - $865	205%
Avmed	$250 - $961	281%
Simply Healthcare Plans	$250	281%
Molina	$365 - $519	411%
Humana	$403 - $653	453%
Health Sun Health Plan	$409	460%
Mmm Of Fl (Health Advantage Plan)	$442	497%
United Ppo	$455	512%
Corvel Corporation	$457	514%
Careworks (Rockport)	$467	525%
Prime Health	$467	525%
Sunshine State Health Plan	$507	570%
Aetna	$576	648%
Plotkin Health	$961	1081%
Prime Health Sherriff	$961	1081%
Medica Healthcare	$1,114	1253%
Multiplan	$1,441 - $1,633	1621%
Evernorth Bh	$1,537	1729%

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 $1,921.
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 University Hospital and Medical Center 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.