CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: West Anaheim Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $111
Cash Discount Price: $111
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at West Anaheim Medical Center is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.25x the Medicare baseline. Located in 3033 W Orange Avenue, Anaheim, CA.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $111 (125%)

Insurance Median: $111 (125%)

Cash: $111 (125% of Medicare)

Ins. Median: $111 (125% 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
Caloptima	$25	28%
Traditional Medi-Cal	$25	28%
Health Net Of Ca	$27 - $163	30%
Blue Cross Blue Shield	$111	125%
Blue Shield Of Ca Triwest	$111	125%
Central Health Plan	$111	125%
Health Net Of Ca Mhn (Bh)	$111	125%
Medicare (plans)	$111	125%
Molina	$111	125%
Renal Payor Solutions	$111	125%
Tricare	$111	125%
Verda Health Plan	$111	125%
Brand New Day	$112 - $167	126%
Imperial Health Plan Of Ca Inc	$118	133%
Health Net Federal Services	$139	156%
Aetna	$142	160%
Ca Foundation For Medical Care	$147	165%
Workers Compensation	$147	165%
Employer Direct Healthcare Surgery Plus	$156	175%
Naphcare (Santa Ana - County Jail)	$173	195%
Naphcare Residential Treatment Center	$173	195%

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 $111.
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 West Anaheim Medical Center 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.