CMS Price Transparency Data
X-ray, neck (cervical spine)
Facility: Monterey Park Hospital
Billing Code: 72040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72040
- Insurance Median: $116
- Cash Discount Price: $723
- vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Monterey Park Hospital is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $723. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.30x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$723
Average discount available for prompt cash payment at this facility.
Insurance Median
$116
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: $723 (813%)
Insurance Median: $116 (130%)
Cash: $723 (813% of Medicare)
Ins. Median: $116 (130% 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
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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 |
|---|---|---|
| Blue Cross Blue Shield | $8 - $362 | 9% |
| Ucla/Impact Cancer | $9 | 10% |
| La Care Health Plan | $20 - $398 | 22% |
| Access Ipa Ancillary | $26 - $101 | 29% |
| Accountable Ipa | $26 | 29% |
| Ahmc Healthcare Inc | $26 - $217 | 29% |
| Allied Physicians | $26 - $168 | 29% |
| Alta Med Health Services Corp | $26 - $181 | 29% |
| Altamed Health Network | $26 - $110 | 29% |
| Altamed Health Services | $26 | 29% |
| Applecare Medical Group | $26 - $90 | 29% |
| Assess Ipa | $26 | 29% |
| Associated Hispanic Physicians Ancillary | $26 - $101 | 29% |
| Beverly Hospital | $26 - $123 | 29% |
| Brand New Day | $26 - $140 | 29% |
| Care 1St Mcl/Gar Cap | $26 | 29% |
| Community Health Plan | $26 | 29% |
| Esperanza Medical Group Ipa | $26 - $217 | 29% |
| Family Health Alliance Medical Group | $26 - $217 | 29% |
| Health Net Medi Cal | $26 | 29% |
| Healthnet Inc | $26 | 29% |
| Healthy Way La | $26 | 29% |
| La Care | $26 - $112 | 29% |
| Medical Managed Care Program | $26 | 29% |
| Molina Healthcare | $26 | 29% |
| Other Non-Contracted Medi-Cal | $26 | 29% |
| Preferred Ipa | $26 - $140 | 29% |
| Preferred Ipa Of California | $26 | 29% |
| Alhambra Community Dialysis Unit Inc | $34 - $434 | 38% |
| Aids Health Foundation | $37 - $110 | 42% |
| Avanti | $37 - $134 | 42% |
| Bella Vista Medical Group Ancillary | $37 | 42% |
| Central Health Plan | $37 | 42% |
| Emanate Health | $37 - $140 | 42% |
| Hollywood Presbyterian Adv Med Mcal | $37 | 42% |
| Hollywood Presbyterian Medpoint Mcal | $37 | 42% |
| Maxi Med Inc/Ipa | $37 - $112 | 42% |
| Medi Cal | $37 | 42% |
| Pacific Independent Physician Association | $37 - $217 | 42% |
| Aetna | $40 - $526 | 45% |
| Caloptima Direct | $55 | 62% |
| Altamed Health Services Corporation | $72 | 81% |
| Care 1St M Cal | $72 | 81% |
| Crown City Medical Group Inc | $72 | 81% |
| Garfield Medical Center | $72 | 81% |
| Physician Healthways | $72 - $181 | 81% |
| Universal Care M Cal/Advantage Health Network | $72 | 81% |
| Veterans Administration | $78 | 88% |
| Bella Vista Medical Group | $90 - $217 | 101% |
| Senior Citizens Choice | $99 | 111% |
| Alignment Health Plan | $108 | 121% |
| Apa/Aco Inc | $110 | 124% |
| Blue Shield Of California | $110 - $362 | 124% |
| Cms | $110 | 124% |
| Easy Choice Health Plan | $110 | 124% |
| First Health Senior | $110 | 124% |
| Foundation Health Plan | $110 | 124% |
| Health Net | $110 - $470 | 124% |
| Health Net Inc | $110 - $512 | 124% |
| Humana | $110 | 124% |
| Medicare (plans) | $110 - $116 | 124% |
| Scan Health Plan | $110 | 124% |
| Secure Horizons | $110 | 124% |
| UnitedHealthcare | $110 - $506 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $112 | 126% |
| La Care Covered Direct | $112 | 126% |
| Self-Pay | $112 | 126% |
| Molina Healthcare Medi-Connect | $116 | 130% |
| San Miguel Health Plan | $123 | 138% |
| Pacificare | $132 - $330 | 148% |
| Ahmc Health Epo | $140 | 157% |
| Knox-Keene Act | $140 | 157% |
| Molina Healthcare Of California | $140 | 157% |
| Preferred Health Network | $140 - $578 | 157% |
| Interplan | $143 - $542 | 161% |
| Employee Health Systems Medical Group | $145 | 163% |
| Global Care Medical Group Ipa | $145 - $325 | 163% |
| Healthnet/Ehs Capitation | $145 | 163% |
| Asi Flex Ppo W/C | $148 | 166% |
| Athens Administrators | $148 | 166% |
| Indemnity W Comp Fee Schedule | $148 | 166% |
| Multiplan | $148 - $615 | 166% |
| Hispanic Physicians Ipa Medical Corporation | $181 | 204% |
| Cigna | $199 | 224% |
| Ahmc Reciprocity Agreement Senior/Commercial | $217 | 244% |
| Allied Physicians Ipa | $217 | 244% |
| Community Health Plan M Cal Joy Ipa | $217 | 244% |
| Tenet Reciprocity | $217 | 244% |
| Healthcare Partners Affiliates Medical Group | $258 | 290% |
| Molina Medical Centers | $282 | 317% |
| Central Health Plan Of California | $289 | 325% |
| Health Net Of California | $333 - $432 | 375% |
| Care 1St Health Plan | $434 | 488% |
| Greater Los Angeles Dialysis Inc | $434 | 488% |
| One Health Plan | $434 - $775 | 488% |
| Choice Care Network | $470 | 529% |
| Healthnet | $470 | 529% |
| Universal Care | $506 | 569% |
| Corvel Corporation | $578 - $925 | 650% |
| Bce Emergis Corp | $615 | 692% |
| Commercial Non Contract | $723 | 813% |
| Mri/Ct Greater El Monte Hospital | $723 | 813% |
| Mri/Mra/Alhambra Hospital | $723 | 813% |
| Mri/Mra/Eladh | $723 | 813% |
| One Legacy | $723 | 813% |