CMS Price Transparency Data
X-ray, neck (cervical spine)
Facility: Adventist Health White Memorial
Billing Code: 72040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72040
- Insurance Median: $491
- Cash Discount Price: $216
- vs. Medicare Baseline: 5.52x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Adventist Health White Memorial is $491. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $216. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.52x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$216
Average discount available for prompt cash payment at this facility.
Insurance Median
$491
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: $216 (243%)
Insurance Median: $491 (552%)
Cash: $216 (243% of Medicare)
Ins. Median: $491 (552% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 552% of the Medicare baseline (a markup of 452%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Bc Medi-Cal | $16 | 18% |
| Access Medi-Cal | $37 | 42% |
| Ahp Medi-Cal | $37 | 42% |
| Alta Los Angeles Mcal 1/1/19 | $37 | 42% |
| Avanti Mcal | $37 | 42% |
| Bella Vista Medi-Cal Op/Profee Only | $37 | 42% |
| Healthcare Inc Medi-Cal | $37 | 42% |
| Lasalle Mg Medi-Cal | $37 | 42% |
| Medi-Cal | $37 | 42% |
| Molina Medi-Cal | $37 | 42% |
| Pacific Alliance Medi-Cal | $37 | 42% |
| Pacific Ipa Medi-Cal | $37 | 42% |
| Preferred Ipa La Care Mcal Cap | $37 | 42% |
| Preferred Medi-Cal | $37 | 42% |
| Altamed Medi-Cal - All Other Plans | $43 | 48% |
| Healthnet Mcal | $44 | 49% |
| Fcs Ipa Medi-Cal Op/Profee Only | $45 | 51% |
| Preferred Healthy | $47 | 53% |
| Assoc Hispanic Physcns Mcal | $52 | 58% |
| Blue Shield Mcr Adv | $85 | 96% |
| Blue Shield Medi-Cal | $93 | 105% |
| Access Group | $95 | 107% |
| Ahp - All Other Plans | $95 | 107% |
| Lasalle Mg Commercial - All Other Plans | $95 | 107% |
| Access Senior - All Other Plans | $112 | 126% |
| Ahp Senior | $112 | 126% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $112 | 126% |
| Altamed Connect | $112 | 126% |
| Avanti Mcr Adv - All Other Plans | $112 | 126% |
| Brand New Day Mcare - All Plans | $112 | 126% |
| Bs Va Mcare | $112 | 126% |
| Care First Mcare - All Other Plans | $112 | 126% |
| Clever Care - All Plans | $112 | 126% |
| Fcs Ipa Mcr Advan Op/Profee Only | $112 | 126% |
| Humana | $112 | 126% |
| Lasalle Mg Senior | $112 | 126% |
| Medicare (plans) | $112 | 126% |
| Molina Mcare | $112 | 126% |
| Pacific Alliance Mcare - All Other Plans | $112 | 126% |
| Preferred Senior | $112 | 126% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $112 | 126% |
| Tricare | $112 | 126% |
| UnitedHealthcare | $112 - $672 | 126% |
| Blue Cross Blue Shield | $116 - $192 | 130% |
| Fcs Ipa Op/Profee Only - All Other Plans | $118 | 133% |
| Aetna | $125 | 141% |
| Bright Health - All Plans | $129 | 145% |
| Care First Medi-Cal | $130 | 146% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $134 | 151% |
| Preferred Commercial - All Other Plans | $134 | 151% |
| Intergrated Medical - All Plans | $146 | 164% |
| Molina Benefit Exchange - All Other Plans | $151 | 170% |
| Php-Prospect Health Plan Cap - All Plans | $168 | 189% |
| Ah Employee Health Plan - All Plans | $201 | 226% |
| Centivo - All Plans | $252 | 283% |
| Blue Shield Epn | $283 - $320 | 318% |
| Blue Shield - All Other Plans | $330 - $373 | 371% |
| Cigna | $378 | 425% |
| Pacific Ipa - All Other Plans | $453 - $511 | 510% |
| Kaiser- All Plans | $488 - $551 | 549% |
| Western Growers/Pinnacle - All Plans | $488 - $551 | 549% |
| Healthnet - All Other Plans | $539 - $608 | 606% |
| Healthnet Comm Care | $556 - $627 | 625% |
| Caremore Mcare - All Plans | $596 - $672 | 670% |
| Hcpamg - All Plans | $597 - $674 | 671% |
| Healthcare Inc - All Other Plans | $655 - $740 | 737% |
| La Care Mcr Adv - All Plans | $655 - $740 | 737% |
| First Heatlh Ppo - All Plans | $691 - $780 | 777% |
| Phcs Ppo - All Plans | $774 - $874 | 871% |
| Scan Health Mcare - All Plans | $774 - $874 | 871% |
| Ahf - All Plans | $893 - $1,009 | 1004% |
| Beech Street - All Plans | $893 - $1,009 | 1004% |
| Interplan Ppo - All Plans | $893 - $1,009 | 1004% |
| Corvel Corp - All Plans | $953 - $1,076 | 1072% |
| Multiplan Ppo - All Plans | $989 - $1,116 | 1112% |
| Healthmannet - All Plans | $1,012 - $1,143 | 1138% |
| Next Inc Ppo - All Plans | $1,012 - $1,143 | 1138% |
| Trpn - All Plans | $1,012 - $1,143 | 1138% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $1,072 - $1,210 | 1206% |
| Fpn Ppo - All Plans | $1,072 - $1,210 | 1206% |
| Healthnet Mcr Adv | $1,822 - $2,058 | 2049% |