CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Flowers Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $84
  • Cash Discount Price: $238
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Flowers Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.94x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$238

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $238 (268%)
Insurance Median: $84 (94%)
Cash: $238 (268% of Medicare)
Ins. Median: $84 (94% 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.

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
Alabama Rehab $22 25%
Medicaid / KanCare $22 - $35 25%
Tricare $72 - $80 81%
Blue Cross Blue Shield $74 - $84 83%
Humana $74 - $82 83%
Medicare (plans) $74 - $82 83%
Node Viva Mcr Adv $74 - $82 83%
UnitedHealthcare $74 - $160 83%
Compassionate Hands $75 - $84 84%
Covenant Hospice $75 - $84 84%
Dayspring Hospice $75 - $84 84%
Node Champva $75 - $84 84%
Node Hospice Non Par $75 - $84 84%
Node Va $75 - $84 84%
Select Health $75 - $83 84%
Southern Care Hospice $75 - $84 84%
Vistacare Hospice $75 - $84 84%
Wiregrass Hospice $75 - $84 84%
Aetna $76 - $773 85%
Care Improvement Plus $76 - $84 85%
Cigna $76 - $157 85%
Node Clover Health Mcr Adv $76 - $85 85%
Node Devoted Health Mcr Adv $76 - $84 85%
Veterans Eval Services $76 85%
Node Wellcare Mcr Adv $77 - $86 87%
Eon Health Care $78 - $87 88%
Prime Health $79 - $747 89%
Node Us Dept Of Labor $94 - $105 106%
Ambetter / Centene $113 - $126 127%
Occunet $132 - $147 148%
Self Pay $159 - $318 179%
S & S Healthcare $265 298%
Choicecare Commercial $371 417%
American Employee Alliance $424 477%
Coventry Healthcare $530 - $809 596%
Viva Health $635 714%
Multiplan $688 - $847 774%
Standard Textile $741 833%
Alamed Wc $747 840%
Health Choice $773 869%
Equian $794 - $835 893%
Qhp $794 893%
Novanet $847 953%
Alabama Work Comp $879 989%
Ccn/Mednet Ppo $900 1012%
Corvel $900 1012%
Industry Buying Group $900 1012%
Galaxy Health $953 1072%
Health Payors Org $953 1072%
National Provider Net $953 1072%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals