CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HCA Florida Northside Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $1,156
Cash Discount Price: $5,137
vs. Medicare Baseline: 13.00x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at HCA Florida Northside Hospital is $1,156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,137. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 13.00x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.

Cash / Self-Pay

$5,137

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,156

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: $5,137 (5778%)

Insurance Median: $1,156 (1300%)

Cash: $5,137 (5778% of Medicare)

Ins. Median: $1,156 (1300% 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 1300% of the Medicare baseline (a markup of 1200%). 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 - $2,312	205%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$241	271%
Access 2 Healthcare Physicians Freedom Health	$370	416%
Access 2 Healthcare Physicians Optimum	$370	416%
Freedom Health Care	$401	451%
Optimum Healthcare	$401	451%
Avmed	$411 - $1,284	462%
Corvel Corporation	$422	475%
Rockport Healthcare Group	$422	475%
Prime Health	$431	485%
Simply Healthcare	$791	890%
Molina	$976 - $1,387	1098%
Evolutions Healthcare Systems	$1,181 - $4,726	1328%
Sunshine State Health Plan	$1,310	1473%
Humana	$1,438	1617%
Aetna	$1,541	1733%
Plotkin Health	$2,568	2888%
Prime Health Sheriff	$2,568	2888%
Multiplan	$3,853 - $4,366	4334%

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 $5,137.
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 Northside 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.