CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: San Antonio Regional Hospital

Billing Code: 72040 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$142

about 1.6× the $89 Medicare rate · typically $76–$194

modeled estimate · not a bill or quote

What this hospital charges insurers

$162

About the fair price

about $20 over the fair price · 1.8× Medicare

Medicare pays $89 Fair price $142 This hospital $162 Cash price $281 Hospital's list price $1,344

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $162

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, neck (cervical spine) is about $142 (about 1.6× the $89 Medicare rate). San Antonio Regional Hospital charges insurers about $162, or about $281 in cash — about the fair price. Located in Upland, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$272 - $511	306%
Blue Cross Blue Shieldmajor	$44 - $730	49%
Aetnamajor	$59 - $1,344	66%
Cignamajor	$528	594%
Humanamajor	$112	126%
Kaiser Permanentemajor	$312	351%
Ambetter (Centene)	$245	276%
Health Net	$112 - $268	126%
Molina	$112 - $146	126%
Oscar Health	$1,411	1587%
WellCare	$1,317	1481%
+ 33 smaller / regional plans	$41 - $2,470

Government programs also on file: Medicaid, Military & VA.

Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 281), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72040.

Insurance Before you use insurance

Call your insurance company to confirm San Antonio Regional Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72040.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at San Antonio Regional Hospital

Compare: X-ray, neck (cervical spine) at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.