CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Adventist Health Ukiah Valley

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $58
Cash Discount Price: $23
vs. Medicare Baseline: 0.65x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Adventist Health Ukiah Valley is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.65x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$23

Average discount available for prompt cash payment at this facility.

Insurance Median

$58

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: $23 (26%)

Insurance Median: $58 (65%)

Cash: $23 (26% of Medicare)

Ins. Median: $58 (65% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $120	12%
Kaiser Mcr Adv	$11 - $120	12%
Tricare	$11 - $120	12%
Ah Employee Health Plan - All Plans	$12 - $216	13%
Cigna	$14 - $837	16%
UnitedHealthcare	$14 - $897	16%
Blue Shield Epn-All Other Plans	$15 - $409	17%
Healthnet-All Plans	$15 - $614	17%
Blue Shield Non-Epn	$16 - $414	18%
Western Growers-All Plans	$16 - $451	18%
Aetna	$25 - $189	28%
Kaiser Medi-Cal	$26 - $37	29%
Medi-Cal	$26 - $37	29%
Mendocino Lcc District-All Plans	$27 - $697	30%
Kaiser-All Other Plans	$34 - $858	38%
Three Rivers-All Plans	$38 - $966	43%
Foundation For Medical Care-All Plans	$51 - $805	57%
Networks By Design-All Plans	$54 - $858	61%
Phcs Multiplan-All Plans	$54 - $858	61%
Interplan-All Plans	$56 - $880	63%
Beech Street-All Plans	$58 - $912	65%
Choice Care-All Plans	$58 - $912	65%
Health Mgmt Network-All Plans	$58 - $912	65%
Blue Cross Blue Shield	$174 - $232	196%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $23.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Ukiah Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.