CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $344
  • Cash Discount Price: $896
  • vs. Medicare Baseline: 3.87x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $344. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $896. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.87x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.
Cash / Self-Pay
$896

Average discount available for prompt cash payment at this facility.

Insurance Median
$344

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: $896 (1008%)
Insurance Median: $344 (387%)
Cash: $896 (1008% of Medicare)
Ins. Median: $344 (387% 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 387% of the Medicare baseline (a markup of 287%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Simply $6 7%
United Hc $6 - $1,791 7%
Blue Cross Blue Shield $10 - $1,346 11%
Aetna $11 - $985 12%
Baycare $11 - $361 12%
Careplus $11 - $361 12%
Devoted $11 - $378 12%
Humana $11 - $1,164 12%
Cigna $12 - $1,075 13%
Freedom Health $12 - $30 13%
Health First $12 - $985 13%
Optimum $12 - $30 13%
Evolutions $13 - $1,433 15%
Avmed $15 - $1,075 17%
Multiplan $17 - $1,433 19%
Molina $351 395%
Emerging Therapies $1,075 1209%
UnitedHealthcare $1,075 1209%
First Health $1,343 1511%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12902 Magnolia Dr, Tampa, FL 33612
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL