CMS Price Transparency Data
X-ray, neck (cervical spine)
Facility: Clovis Community Medical Center
Billing Code: 72040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72040
- Insurance Median: $43
- Cash Discount Price: $642
- vs. Medicare Baseline: 0.48x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Clovis Community Medical Center is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $642. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.48x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$642
Average discount available for prompt cash payment at this facility.
Insurance Median
$43
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: $642 (722%)
Insurance Median: $43 (48%)
Cash: $642 (722% of Medicare)
Ins. Median: $43 (48% 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 |
|---|---|---|
| Advantek Table Mountain Rancheria Tribal Member | $11 - $112 | 12% |
| Aetna | $11 - $402 | 12% |
| Blue Cross Blue Shield | $11 - $511 | 12% |
| Blue Shield | $11 - $457 | 12% |
| Blue Shield 65 Plus Hmo Ehs | $11 - $112 | 12% |
| Blue Shield 65 Plus Hmo First Choice | $11 - $112 | 12% |
| Blue Shield Hmo-Cvmp/Medpro | $11 - $112 | 12% |
| Blue Shield Promise - Imperial | $11 - $112 | 12% |
| Blue Shield Saint Agnes | $11 - $112 | 12% |
| Blue Shield Sante | $11 - $112 | 12% |
| Brand New Day | $11 - $112 | 12% |
| Bscphp - Dhmso | $11 - $112 | 12% |
| Bscphp - First Choice | $11 - $112 | 12% |
| Bscphp Hmo - First Choice | $11 - $112 | 12% |
| Care1St Hmo - Ehs | $11 - $112 | 12% |
| Cares Act Provider Relief Fund | $11 - $112 | 12% |
| Cigna | $11 - $498 | 12% |
| Gemcare Hmo | $11 - $112 | 12% |
| Generic | $11 - $112 | 12% |
| Generic Bscphp | $11 - $112 | 12% |
| Generic Victims Of Crime | $11 - $112 | 12% |
| Hartford Life Supplement | $11 - $112 | 12% |
| Healthnet Hmo - Cvmp/Medpro | $11 - $112 | 12% |
| Healthnet Hmo - Dhmso | $11 - $112 | 12% |
| Healthnet Hmo - La Salle | $11 - $112 | 12% |
| Healthnet Hmo - Sante | $11 - $112 | 12% |
| Healthnet Sante | $11 - $112 | 12% |
| Healthnet Sante - Sub Cap Dual Risk | $11 - $112 | 12% |
| Healthnet Sante Dual Risk | $11 - $112 | 12% |
| Humana | $11 - $683 | 12% |
| Medi-Cal Innovative Integrated Health | $11 - $112 | 12% |
| Medicare (plans) | $11 - $112 | 12% |
| Meritage Blue Shield 65 Plus | $11 - $112 | 12% |
| Meritage Brand New Day | $11 - $112 | 12% |
| Meritage Healthnet Hmo | $11 - $112 | 12% |
| Railroad Part A | $11 - $112 | 12% |
| Railroad Part A & B | $11 - $112 | 12% |
| Railroad Part B | $11 - $112 | 12% |
| Sante | $11 - $112 | 12% |
| Sante Sub Cap Healthnet Seniority | $11 - $112 | 12% |
| Sante Sub Cap-Blue Shield/Sante | $11 - $112 | 12% |
| Sante-Blue Shield/Sante | $11 - $112 | 12% |
| Sante-Healthnet Seniority | $11 - $112 | 12% |
| Sante-Sub Cap Ma Brand New Day | $11 - $112 | 12% |
| Scan Health Plan | $11 - $112 | 12% |
| Sequoia Pace - Peak Tpa | $11 - $112 | 12% |
| Todays Pyramid | $11 - $112 | 12% |
| UnitedHealthcare | $11 - $421 | 12% |
| Us Marshal | $11 - $112 | 12% |
| Victims Of Crime | $11 - $112 | 12% |
| Well Path (Cfmg) | $11 - $883 | 12% |
| Wellcare | $11 - $112 | 12% |
| Alignment Health Plan | $12 - $123 | 13% |
| Champion Health Plan Of California Ma | $12 - $123 | 13% |
| Imperial Health Plan Hmo | $12 - $129 | 13% |
| Innovative Integrated Health Community Plans Hmo | $12 - $123 | 13% |
| Correctcare Integrated Health | $14 - $146 | 16% |
| Coalinga State Hospital | $21 - $224 | 24% |
| Naphcare Inc-Mendota | $23 - $241 | 26% |
| Cal Caloptima | $26 | 29% |
| Ccs Fresno | $26 | 29% |
| Ccs Kern | $26 | 29% |
| Ccs Kings | $26 | 29% |
| Ccs Madera/Sacramento | $26 | 29% |
| Ccs Mariposa | $26 | 29% |
| Ccs Merced | $26 | 29% |
| Ccs Stanislaus | $26 | 29% |
| Ccs Tulare | $26 | 29% |
| Chdp | $26 | 29% |
| Fresno County Funded Specialty Care | $26 | 29% |
| Generic Care Out Of County | $26 | 29% |
| Generic Ccs Other Counties | $26 | 29% |
| Genetically Handicapped Person | $26 | 29% |
| Gold Coast Medi-Cal | $26 | 29% |
| Medi-Cal Alameda Alliance For Health | $26 | 29% |
| Medi-Cal Blue Shield Promise Health | $26 | 29% |
| Medi-Cal California Health & Wellness Plan | $26 | 29% |
| Medi-Cal Cencal Health | $26 | 29% |
| Medi-Cal Community Health Group | $26 | 29% |
| Medi-Cal Contra Costa Health Plan | $26 | 29% |
| Medi-Cal Health Plan Of San Mateo | $26 | 29% |
| Medi-Cal Inland Empire Health | $26 | 29% |
| Medi-Cal Kern Family Health | $26 | 29% |
| Medi-Cal La Care Health | $26 | 29% |
| Medi-Cal Molina | $26 | 29% |
| Medi-Cal Partnership Health Plan Of Ca | $26 | 29% |
| San Francisco Health Plan Medi-Cal | $26 | 29% |
| Santa Clara Family Health Plan - Premier Health | $26 | 29% |
| Santa Clara Family Health Plan - Valley Health | $26 | 29% |
| Health Plan Of San Joaquin | $39 | 44% |
| Sequoia Pace | $39 | 44% |
| Adventist -Mcl Calviva Sub Cap | $43 | 48% |
| Healthnet | $50 - $471 | 56% |
| Kaiser | $89 | 100% |
| Central Valley Medical Providers | $201 - $562 | 226% |
| Community Care | $205 | 231% |
| Employer 90/40 | $321 | 361% |
| Central Ca Indian Health | $442 | 497% |
| Nx Health Network Ppo | $442 | 497% |
| Healthsmart | $546 - $642 | 614% |
| Coventry Health Care (First Health Network) | $602 | 677% |
| Network By Design | $602 | 677% |
| Generic Multiplan | $683 | 768% |
| Phcs | $683 | 768% |