CMS Price Transparency Data
X-ray, neck (cervical spine)
Facility: San Gabriel Valley Medical Center
Billing Code: 72040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72040
- Insurance Median: $132
- Cash Discount Price: $161
- vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at San Gabriel Valley Medical Center is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.48x the Medicare baseline. Located in 438 W Las Tunas Drive, San Gabriel, CA.
Cash / Self-Pay
$161
Average discount available for prompt cash payment at this facility.
Insurance Median
$132
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: $161 (181%)
Insurance Median: $132 (148%)
Cash: $161 (181% of Medicare)
Ins. Median: $132 (148% 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
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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 |
|---|---|---|
| Blue Cross Blue Shield | $8 - $479 | 9% |
| Ahmc Medi-Cal Reciprocity | $26 | 29% |
| Allied Physicians | $26 - $168 | 29% |
| Altamed Health Network | $26 - $110 | 29% |
| Beverly Hospital | $26 - $123 | 29% |
| Brand New Day | $26 - $188 | 29% |
| Emanate Health | $26 - $140 | 29% |
| Healthnet Medi-Cal Non-Contract | $26 | 29% |
| Non Contracting Medi Cal | $26 | 29% |
| La Care Health Plan | $30 - $112 | 34% |
| Care 1St Health Plan | $36 - $350 | 40% |
| Aids Healthcare Foundation | $37 - $215 | 42% |
| Avanti | $37 - $134 | 42% |
| Healthy Way La | $37 | 42% |
| Hollywood Presbyterian Adv Med Mcal | $37 | 42% |
| Hollywood Presbyterian Medpoint Mcal | $37 | 42% |
| Medicaid / KanCare | $37 | 42% |
| Physicians Healthways | $37 - $112 | 42% |
| Aetna | $41 - $162 | 46% |
| Private Pay | $50 | 56% |
| Veterans Administration | $78 | 88% |
| Alignment Health Plan | $110 | 124% |
| Apa/Aco Inc | $110 | 124% |
| Blue Shield Of California | $110 - $259 | 124% |
| Central Health Plan | $110 - $323 | 124% |
| Health Net | $110 - $314 | 124% |
| Health Net Inc | $110 - $261 | 124% |
| Humana | $110 | 124% |
| Medicare (plans) | $110 - $116 | 124% |
| Molina Healthcare Of California | $110 - $210 | 124% |
| Pacific Alliance Medical Center | $110 | 124% |
| Pacificare Of California | $110 - $176 | 124% |
| Providence Health Network | $110 | 124% |
| Tricare | $110 | 124% |
| Wellcare | $110 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx | $112 | 126% |
| Inter Valley Health Plan | $112 | 126% |
| Self-Pay | $112 | 126% |
| St Vincent Medical Center/Psych | $112 | 126% |
| Chinatown Service Center Pace | $132 | 148% |
| UnitedHealthcare | $132 - $330 | 148% |
| Ahmc Health Self-Insurance Epo | $140 | 157% |
| Knox-Keene Act | $140 | 157% |
| Athens Administrators | $149 | 168% |
| Beech Street | $149 - $430 | 168% |
| Other Non Contracting Workers Comp | $149 | 168% |
| Ahmc Reciprocity | $161 | 181% |
| Alignment Healthplan | $188 | 211% |
| Clever Care | $188 | 211% |
| Cigna | $199 | 224% |
| Pacific Independent Physician Associates | $215 | 242% |
| Facey Medical | $269 | 303% |
| Community Care Network | $350 | 394% |
| Choicecare Network | $377 | 424% |
| Private Healthcare Systems (Phcs) | $377 | 424% |
| Affiliated Health Fund | $404 | 454% |
| Multiplan | $484 | 544% |
| Ppo Next | $484 | 544% |
| Managed Health Network | $538 | 605% |
| Medi-Cal Sub Acute | $538 | 605% |
| One Legacy | $538 | 605% |
| Other Non Contracted Commercial | $538 | 605% |
| Us Behavioral Health Plan | $538 | 605% |