CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Flagstaff Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $110
  • Cash Discount Price: $218
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Flagstaff Medical Center is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $218. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.24x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$218

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $218 (245%)
Insurance Median: $110 (124%)
Cash: $218 (245% of Medicare)
Ins. Median: $110 (124% 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
Devoted $38 - $103 43%
Health Choice $38 - $191 43%
University Of Arizona Health Plans $38 - $108 43%
Va Pccc Triwest $39 - $99 44%
Nau Athletic Department $60 - $348 67%
Naphcare $68 - $199 76%
Carefirst $78 88%
Mercy Care Rhba $78 88%
Ahcccs $81 91%
Ahcccs Other $81 91%
Fmc Jail $81 91%
Health Choice Arizona $81 91%
Health Choice Integrated Care $81 91%
Health Net Of Arizona $81 91%
Mercy Care $81 91%
Nhi Out Of State Ahcccs $81 91%
UnitedHealthcare $81 - $403 91%
Health Net Federal $93 105%
Aetna $98 - $371 110%
Fmc 30/70 $98 110%
Humana $98 - $414 110%
Medicare (plans) $98 110%
Mercy Care Advantage $98 110%
Rehabilitation Hospital Of Northern Arizona $98 110%
Snf Fmc $98 110%
Wellcare $98 110%
Wellcare By Allwell $98 110%
Fmc Ihs $99 111%
Ambetter / Centene $112 126%
Pnoa $147 165%
Self Pay $218 - $435 245%
Self-Pay 50% Discount $218 245%
Blue Cross Blue Shield $255 - $319 287%
Workers Comp $283 318%
Copperpoint $319 359%
Cigna $392 441%
Fmc 90/10 $392 441%
Rural Arizona Network Multiplan $392 441%
United Behavioral Health $435 489%
Auto Insurance $5,000 5624%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals