CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Viera Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $293
Cash Discount Price: $122
vs. Medicare Baseline: 3.30x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Viera Hospital is $293. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.30x the Medicare baseline. Located in 8745 N Wickham Rd, Melbourne, FL.

Cash / Self-Pay

$122

Average discount available for prompt cash payment at this facility.

Insurance Median

$293

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: $122 (137%)

Insurance Median: $293 (330%)

Cash: $122 (137% of Medicare)

Ins. Median: $293 (330% 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 330% of the Medicare baseline (a markup of 230%). 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
Health First Health Plan	$16 - $146	18%
Humana	$36 - $489	40%
Molina Healthcare	$36 - $548	40%
Aetna	$37 - $538	42%
Amerigroup	$37 - $489	42%
Sunshine Health Plan	$37 - $513	42%
UnitedHealthcare	$37 - $619	42%
Corizon Health	$91	102%
Florida Healthcare Plans	$155	174%
Cigna	$188 - $201	211%
Disney Cruise Line	$293	330%
Prime Heath Services, Inc.	$367	413%
Multiplan	$391	440%
Florida Blue	$493 - $525	554%

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 $122.
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 Viera 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.