CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HCA Florida Palms West Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $485
Cash Discount Price: $2,206
vs. Medicare Baseline: 5.45x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at HCA Florida Palms West Hospital is $485. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,206. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.45x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.

Cash / Self-Pay

$2,206

Average discount available for prompt cash payment at this facility.

Insurance Median

$485

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: $2,206 (2481%)

Insurance Median: $485 (545%)

Cash: $2,206 (2481% of Medicare)

Ins. Median: $485 (545% 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 545% of the Medicare baseline (a markup of 445%). 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 - $993	205%
Freedom Health	$190 - $353	214%
Optimum	$190	214%
Avmed	$287 - $1,103	323%
Simply Healthcare Plans	$287	323%
Molina	$419 - $596	471%
Corvel Corporation	$437	492%
Careworks (Rockport)	$446	502%
Prime Health	$446	502%
Humana	$463 - $750	521%
Health Sun Health Plan	$470	529%
Aids Healthcare	$485 - $2,647	545%
Mmm Of Fl (Health Advantage Plan)	$507	570%
United Ppo	$523	588%
Healthy Palm Beaches	$550	619%
Sunshine State Health Plan	$574	646%
Aetna	$662	745%
Health Care District	$1,103	1241%
Palm Beach Juvenile Correction	$1,103	1241%
Plotkin Health	$1,103	1241%
Prime Health Sherriff	$1,103	1241%
Medica Healthcare	$1,279	1439%
Multiplan	$1,654 - $1,875	1860%

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 $2,206.
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 Palms West 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.