CMS Price Transparency Data
X-ray, neck (cervical spine)
Facility: Menifee Global Medical Center
Billing Code: 72040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72040
- Insurance Median: $118
- Cash Discount Price: $391
- vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Menifee Global Medical Center is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $391. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.33x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$391
Average discount available for prompt cash payment at this facility.
Insurance Median
$118
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: $391 (440%)
Insurance Median: $118 (133%)
Cash: $391 (440% of Medicare)
Ins. Median: $118 (133% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $31 | 35% |
| Tricare | $36 - $104 | 40% |
| Health Net Medi-Cal | $37 | 42% |
| Hpn Mcal | $37 | 42% |
| Ic | $37 - $391 | 42% |
| Kaiser Medi-Cal | $37 | 42% |
| Prospect Health Plan Mcal Hmo | $38 | 43% |
| Blue Cross Blue Shield | $39 | 44% |
| Molina Medi-Cal | $44 | 49% |
| Altamed Mcal Hmo | $52 | 58% |
| Altamed Mcal/Pace | $52 | 58% |
| Choice Physicians Network | $52 | 58% |
| Iehp Medi-Cal | $56 | 63% |
| Cigna | $59 - $313 | 66% |
| Health Net Enhanced Ppo | $60 - $156 | 67% |
| Aetna | $111 - $214 | 125% |
| Altamed Comm Hmo (Ancillary) | $111 - $391 | 125% |
| Altamed Health Services Senior | $111 | 125% |
| Altamed Sr/Pace | $111 | 125% |
| Blue Shield Senior | $111 | 125% |
| Central Health Plan Senior | $111 | 125% |
| Clever Care Health Plan Sr | $111 | 125% |
| For Your Benefit Senior | $111 | 125% |
| Guidant Health Plan Senior | $111 | 125% |
| Health Net Senior | $111 | 125% |
| Hpn Senior | $111 | 125% |
| Humana | $111 | 125% |
| Kaiser Senior | $111 | 125% |
| Lasalle Medical Assoc (Ancillary) Senior | $111 | 125% |
| Managed Health Network Sr | $111 | 125% |
| Medicare (plans) | $111 | 125% |
| Neighborhood Healthcare Pace | $111 | 125% |
| Primecare Senior | $111 | 125% |
| Prospect Health Plan Sr Hmo | $111 | 125% |
| Scan Senior | $111 | 125% |
| Sr Capitation | $111 | 125% |
| UnitedHealthcare | $111 - $129 | 125% |
| Veterans Administration | $111 | 125% |
| Imperial Health Plan Of Ca | $112 | 126% |
| Lasalle Medical Assoc (Ancillary) Commercial | $112 | 126% |
| Point Comfort Underwriters | $112 | 126% |
| Self Pay/Ab774/Charity Discount | $112 | 126% |
| Molina Covered Ca | $118 | 133% |
| Align Senior Care | $125 | 141% |
| Welbehealth Sr/Pace | $125 | 141% |
| Prime Health Services Senior | $128 | 144% |
| Coventry | $134 - $139 | 151% |
| Prime Health Services Wcomp | $134 | 151% |
| Iehp Covered Ca | $139 | 156% |
| Three Rivers Wcomp | $146 | 164% |
| Workers Comp Non-Contracted | $149 | 168% |
| Prospect Health Plan Comm Hmo | $150 | 169% |
| Hpn Commercial/Covered Ca | $156 | 175% |
| Health Net Comm | $167 | 188% |
| Velocity | $176 - $196 | 198% |
| Three Rivers Network | $196 | 220% |
| First Health Commercial | $205 | 231% |
| Primecare Commercial | $254 | 286% |
| Multiplan Ppo | $274 | 308% |
| Multiplan Wcomp | $274 | 308% |
| Blue Shield Epn | $313 | 352% |
| Pnoa-Provider Network Of America | $313 | 352% |
| Prime Health Services Commercial | $313 | 352% |
| Blue Shield Commercial | $369 | 415% |
| Ava Hospice | $391 | 440% |
| Kaiser Commercial | $391 | 440% |
| Living Waters Hospice | $391 | 440% |
| Managed Health Network | $391 | 440% |
| Other Insurance Loa | $391 | 440% |
| Pacific Valley Hospice | $391 | 440% |
| Private Pay | $391 | 440% |
| Silverado Hospice | $391 | 440% |
| Vna Hospice | $391 | 440% |