CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HCA Florida Oak Hill Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $620
Cash Discount Price: $2,756
vs. Medicare Baseline: 6.97x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at HCA Florida Oak Hill Hospital is $620. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,756. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.97x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.

Cash / Self-Pay

$2,756

Average discount available for prompt cash payment at this facility.

Insurance Median

$620

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: $2,756 (3100%)

Insurance Median: $620 (697%)

Cash: $2,756 (3100% of Medicare)

Ins. Median: $620 (697% 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 697% of the Medicare baseline (a markup of 597%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$130	146%
United	$182 - $1,240	205%
Access 2 Healthcare Physicians Freedom Health	$198	223%
Access 2 Healthcare Physicians Optimum	$198	223%
Freedom Health Care	$215	242%
Optimum Healthcare	$215	242%
Avmed	$221 - $689	249%
Corvel Corporation	$422	475%
Rockport Healthcare Group	$422	475%
Simply Healthcare	$424	477%
Prime Health	$431	485%
Molina	$524 - $744	589%
Evolutions Healthcare Systems	$634 - $2,536	713%
Sunshine State Health Plan	$703	791%
Humana	$772	868%
Aetna	$827	930%
Plotkin Health	$1,378	1550%
Prime Health Sheriff	$1,378	1550%
Multiplan	$2,067 - $2,343	2325%

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 $2,756.
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 Oak Hill 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.