CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Adventist Health Bakersfield

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $106
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Adventist Health Bakersfield is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.19x the Medicare baseline. Located in 2615 Chester Avenue, Bakersfield, CA.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $26 (29%)
Insurance Median: $106 (119%)
Cash: $26 (29% of Medicare)
Ins. Median: $106 (119% 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
Aetna $11 - $144 12%
Blue Shield Mcr Adv $11 - $112 12%
Fhcn Pace Mcr Adv - All Plans $11 - $112 12%
Gem Care- All Plans $11 - $402 12%
Healthnet Mcr Adv $11 - $112 12%
Kern Legacy Share Select $11 - $402 12%
Oscar - All Plans $11 - $179 12%
Premier Physician Alliance Profee Only-All Plans $11 12%
UnitedHealthcare $11 - $349 12%
County Of Kern - All Plans $12 - $402 13%
Employee Health Plan - All Plans $12 - $201 13%
Kern Legacy Hp Epo - All Other Plans $12 - $402 13%
Bc Medi-Cal $14 - $26 16%
Cigna $14 - $331 16%
Network Provdrs Llc Mcare -All Payers $14 - $146 16%
Blue Shield Epn $15 - $267 17%
Blue Shield Epo/Ppo $16 - $296 18%
Blue Shield Hmo/Pos - All Other Plans $16 - $296 18%
Centivo - All Plans $16 - $252 18%
Healthnet Hmo/Pos/Ppo/Epo - All Other Plans $16 - $598 18%
Western Growers/Pinnacle- All Plans $16 - $396 18%
Medi-Cal $26 - $37 29%
Universal Hc Mcal Profee Only $26 29%
Kaiser Mcal Ip/Op Only $37 42%
Kern Health Systems Mcal $37 - $48 42%
Healthnet Mcal $44 49%
First Health/Coventry- All Plans $106 - $482 119%
Kaiser Mcr Adv Ip/Op Only $112 126%
Universal Health Plan Mcare-All Other Plans $112 126%
Phcs- All Plans $114 - $522 128%
Interplan- All Plans $123 - $562 138%
Amrcn Indian Hlth Proj Mcr Adv - All Plans $134 151%
Affiliated Health Funds-All Plans $141 - $642 159%
Integrated Health Plan-All Plans $141 - $642 159%
Three Rivers Provider Network- All Plans $141 - $642 159%
Blue Cross Blue Shield $148 - $164 166%
Beech Street- All Plans $150 - $683 169%
Galaxy Health Network- All Plans $158 - $723 178%
Kaiser Comm Hmo Ip/Op Only-All Other Plans $193 217%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2615 Chester Avenue, Bakersfield, CA 93301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals