X-ray, neck (cervical spine)
Facility: Memorial Hospital Miramar
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $373
- Cash Discount Price: $716
- vs. Medicare Baseline: 4.20x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 420% of the Medicare baseline (a markup of 320%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Avmed | $32 - $350 | 36% |
| Aetna | $84 - $1,325 | 94% |
| Amerihealth Caritas | $84 - $182 | 94% |
| Community Care Plan | $89 - $193 | 100% |
| Cigna | $93 - $314 | 105% |
| Molina | $95 - $205 | 107% |
| Wellcare | $96 - $99 | 108% |
| Florida Community Care | $97 | 109% |
| Humana | $98 | 110% |
| Solis Health Plan | $103 | 116% |
| Health Sun | $104 - $853 | 117% |
| Florida Pace Centers | $105 | 118% |
| UnitedHealthcare | $109 - $227 | 123% |
| Align Senior Care | $111 | 125% |
| Longevity | $114 | 128% |
| Sunshine | $123 - $478 | 138% |
| Employers Health Network | $168 - $364 | 189% |
| Prime Health Services | $284 | 319% |
| Emerging Therapy Solutions | $316 - $682 | 355% |
| Plotkin | $342 - $739 | 385% |
| World Medical Care | $342 - $739 | 385% |
| Quality Health Management | $342 - $739 | 385% |
| Allianz | $342 - $739 | 385% |
| Desjardins Financial Security Life Assurance Company | $342 - $739 | 385% |
| Global Medical Management | $342 - $739 | 385% |
| Global Health Claims | $342 - $966 | 385% |
| Star Healthcare Network | $342 - $739 | 385% |
| National Healthcare Solutions | $342 - $739 | 385% |
| Worldwide Medical Assurance | $342 - $739 | 385% |
| Global Reach Health | $342 - $739 | 385% |
| Worldwide Managed Care Partners | $342 - $739 | 385% |
| Quebec Inc | $342 - $739 | 385% |
| Axis | $342 - $739 | 385% |
| Dimension Health | $355 - $767 | 399% |
| Gallagher Bassett | $421 - $910 | 474% |
| First Health | $457 | 514% |
| Employers Choice Network | $457 | 514% |
| Corvel | $457 | 514% |
| Broward County | $718 - $2,726 | 808% |