CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Adventist Health Hanford

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $112
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Adventist Health Hanford is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $77 (87%)
Insurance Median: $112 (126%)
Cash: $77 (87% of Medicare)
Ins. Median: $112 (126% 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
Blue Shield Mcr Adv $11 - $112 12%
Central Valley Med Prov Profee Only-All Plans $11 12%
Fhcn Pace Mcr Adv-All Plans $11 - $112 12%
Prime Health Mcr Adv- All Plans $11 - $112 12%
Tricare $11 - $112 12%
UnitedHealthcare $11 - $325 12%
Ah Employee Health Plan - All Plans $12 - $201 13%
Cigna $13 - $459 15%
Kaiser - All Other Plans $14 - $386 16%
Kaiser Mcr Adv $14 - $112 16%
Blue Shield Epn $15 - $363 17%
Healthnet - All Other Plans $15 - $413 17%
Bc Mcal $16 - $26 18%
Blue Shield Non-Epn - All Other Plans $16 - $398 18%
Western Growers/Pinnacle- All Plans $16 - $356 18%
Blue Cross Blue Shield $19 - $211 21%
Aetna $25 - $281 28%
Healthnet Mcal $26 - $49 29%
Kaiser Mcal $26 - $37 29%
Medi-Cal $26 - $37 29%
Universal Hc Mcal Profee $26 29%
Upn Mcal Profee $26 29%
Valley Childrens - All Plans $42 - $63 47%
Fresno - All Plans $61 69%
Healthnet Mcr Adv $112 126%
Key Medical Mcr Adv $112 126%
Universal Hc Mcr Adv Profee - All Other Plans $112 126%
Upn Mcr Adv Profee - All Other Plans $112 126%
Key Medical Group Commercial - All Other Plans $134 151%
Bright Health Mcr Adv-All Plans $176 198%
Phcs Ppo- All Plans $502 565%
Community Hlth Ntwork-All Plans $518 583%
First Health - All Plans $603 678%
Choicecare- All Plans $634 713%
Multiplan- All Plans $642 722%
Interplan- All Plans $649 730%
Beech Street- All Plans $657 739%
Preferred Health Network- All Plans $734 826%
Pacific Health Alliance- All Plans $750 844%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Mall Drive, Hanford, CA 93230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals