CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Ochsner Choctaw General

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $49
Cash Discount Price: $126
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Ochsner Choctaw General is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.55x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$126

Average discount available for prompt cash payment at this facility.

Insurance Median

$49

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: $126 (142%)

Insurance Median: $49 (55%)

Cash: $126 (142% of Medicare)

Ins. Median: $49 (55% 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.

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
Humana	$8 - $196	9%
Prime Health Services Ppo	$11 - $216	12%
Blue Cross Blue Shield	$13 - $176	15%
UnitedHealthcare	$13 - $196	15%
Aetna	$17 - $176	19%
Cigna	$17 - $196	19%
Primewell Health Services Commercial Exchange Plan	$19 - $181	21%
Primewell Health Services – Commercial	$19 - $181	21%
Claritev D/B/A Multiplan/Phcs/American Life Care	$26 - $202	29%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$27 - $196	30%
Medicare (plans)	$27 - $225	30%
Ambetter / Centene	$28 - $123	31%
Shared Health Mississippi	$29 - $206	33%
Zelis	$31 - $202	35%
Medicaid / KanCare	$34 - $71	38%
Select Administrative Services Network	$34 - $189	38%
Cor Vel	$46 - $220	52%
Prime Health Services Ppo -Workers Comp	$46 - $215	52%

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 $126.
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 Ochsner Choctaw General 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.