CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Good Samaritan Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $435
Cash Discount Price: $2,899
vs. Medicare Baseline: 4.89x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Good Samaritan Hospital is $435. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,899. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.89x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.

Cash / Self-Pay

$2,899

Average discount available for prompt cash payment at this facility.

Insurance Median

$435

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: $2,899 (3261%)

Insurance Median: $435 (489%)

Cash: $2,899 (3261% of Medicare)

Ins. Median: $435 (489% 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 489% of the Medicare baseline (a markup of 389%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Physicians Medical Group	$25	28%
Santa Clara Family Health Plan	$26	29%
Blue Cross Blue Shield	$27 - $219	30%
Cigna	$129 - $2,319	145%
United	$182 - $739	205%
Blue Shield	$241	271%
Medcare Partners	$435	489%
Health Net	$675	759%
Nx Health Network	$1,739	1956%
Sutter Select	$1,739	1956%
Multiplan	$1,884 - $2,319	2119%
Humana	$2,029	2282%
First Health	$2,203 - $2,899	2478%
Healthsmart	$2,319 - $2,464	2608%
Intercontinental Corporation	$2,319	2608%
Pha Pacific Health Alliance	$2,319	2608%
Ppo Next	$2,319	2608%
Aetna	$4,973 - $5,074	5593%

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 $2,899.
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 Good Samaritan Hospital 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.