CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Mat-Su Regional Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $716
  • Cash Discount Price: $366
  • vs. Medicare Baseline: 8.05x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Mat-Su Regional Medical Center is $716. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $366. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.05x the Medicare baseline. Located in 2500 South Woodworth Loop, Palmer, AK.
Cash / Self-Pay
$366

Average discount available for prompt cash payment at this facility.

Insurance Median
$716

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: $366 (412%)
Insurance Median: $716 (805%)
Cash: $366 (412% of Medicare)
Ins. Median: $716 (805% 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 805% of the Medicare baseline (a markup of 705%). 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
Veterans Eval Services $95 107%
Medicaid / KanCare $96 - $101 108%
Medicare (plans) $102 115%
Node Champva $102 115%
Tricare $102 115%
Node Non Par Hospice Agree $103 116%
Node Triwest $103 116%
Node Va $103 116%
Node Us Dept Of Labor $129 145%
Self Pay $269 - $471 303%
Aetna $282 317%
Ak Dept Of Corrections $493 - $518 554%
Blue Cross Blue Shield $503 - $575 566%
Hccmca $538 - $565 605%
Multiplan Phcs $682 - $716 767%
Moda Assurance $709 - $744 797%
Cigna $710 - $746 799%
Carlie Trans Grp $762 - $801 857%
UnitedHealthcare $762 - $801 857%
First Choice Health $807 - $848 908%
Multiplan Mpi $816 - $857 918%
Plan Vista Solutions $834 - $876 938%
Multiplan Wc $852 - $895 958%
One Health $852 - $895 958%
First Health Group $861 - $904 968%
Medical Control Network Solutions $861 - $904 968%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2500 South Woodworth Loop, Palmer, AK 99645
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals