CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: USA Health Children's & Women's Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $106
Cash Discount Price: $197
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at USA Health Children's & Women's Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.19x the Medicare baseline. Located in 1700 Center Street, Mobile, AL.

Cash / Self-Pay

$197

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $197 (222%)

Insurance Median: $106 (119%)

Cash: $197 (222% of Medicare)

Ins. Median: $106 (119% 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
Central Healthcare Services	$16 - $197	18%
Blue Cross Blue Shield	$39	44%
Aetna	$40 - $217	45%
Devoted Health	$40 - $276	45%
Humana	$40 - $256	45%
UnitedHealthcare	$40 - $213	45%
Viva Health	$40 - $197	45%
Wellcare	$40	45%
Molina Marketplace	$44	49%
Ambetter / Centene	$48	54%
Mississippi Physicians Care Network (Mpcn)	$54	61%
Magnolia Health	$67	75%
Truecare	$67	75%
Molina Chip	$74	83%
Cigna	$94 - $256	106%
Multiplan	$128 - $276	144%
Novanet	$177 - $355	199%

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 $197.
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 USA Health Children's & Women's Hospital 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.