CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Chinese Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $133
  • Cash Discount Price: $624
  • vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Chinese Hospital is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $624. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.50x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.
Cash / Self-Pay
$624

Average discount available for prompt cash payment at this facility.

Insurance Median
$133

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: $624 (702%)
Insurance Median: $133 (150%)
Cash: $624 (702% of Medicare)
Ins. Median: $133 (150% 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 Cross Blue Shield $37 - $176 42%
Medi-Cal $37 42%
San Francisco Health Plan- All Plans $37 42%
Hp Of San Mateo Medi-Cal $46 52%
Blue Shield Medi-Cal $50 56%
Hp Of San Mateo Health Kids/Health Worx-All Other $50 56%
Asian Medical Group Medi-Cal Op Only $52 58%
Jade Medi-Cal $67 75%
Aetna $126 - $190 142%
Cchp Mcr Adv $126 142%
Jade Mcr Adv $126 142%
Jade-All Other Plans $138 155%
On Lok Mcr Adv-All Plans $138 155%
Blue Shield - All Other Plans $261 294%
Health Net-All Plans $331 372%
Cigna $343 386%
Cchp-All Other Plans $530 596%
Hp Of San Mateo Mcr Adv $562 632%
Asian Medical Group Mcare Op Only-All Other Plans $624 702%
Bay Area Accountable Care Mcare $624 702%
Bay Area Accountable Care - All Other Plans $1,123 1263%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 845 Jackson St, San Francisco, CA 94133
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals