CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: University of Alabama Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $634
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 7.13x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at University of Alabama Hospital is $634. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.13x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$634

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%)
Insurance Median: $634 (713%)
Ins. Median: $634 (713% 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 713% of the Medicare baseline (a markup of 613%). 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
Viva $33 - $80 37%
Humana $73 - $674 82%
Birmingham Fc $79 89%
Blue Cross Blue Shield $79 89%
Cooper Green $79 89%
Davita Villagehealth $79 89%
Jefferson County Sheriff $79 89%
Triwest $79 89%
UnitedHealthcare $79 - $431 89%
Cigna $84 - $531 94%
Ambetter / Centene $108 121%
University Of Alabama $396 445%
Aetna $484 544%
Coventry $515 - $640 579%
North Alabama Managed Care $515 579%
Comp One $571 642%
Construction Claims Management $593 667%
Alamed $595 669%
Corvel $634 713%
Evolutions $634 - $714 713%
Healthcare Alliance $634 713%
Novanet $634 - $714 713%
Prime Health Services $634 - $714 713%
Select Value Care $634 713%
Starcare $634 713%
Tethys $634 713%
Multiplan $650 731%
Department Of Labor $674 758%
Geha $674 758%
Gulf Health Plans $674 758%
Heritage Summit Health $674 758%
Mississippi Physicians $674 758%
Phifer $674 758%
Preferred Health Partnership $674 758%
Southern Nuclear $674 758%
Vantage Health Plan $674 758%
Galaxy Health Network $714 803%
National Provider Network $714 803%
North Mississippi Health Link $714 803%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals