CMS Price Transparency Data
X-ray, neck (cervical spine)
Facility: Greater El Monte Community Hospital
Billing Code: 72040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72040
- Insurance Median: $172
- Cash Discount Price: $502
- vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Greater El Monte Community Hospital is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $502. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.93x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$502
Average discount available for prompt cash payment at this facility.
Insurance Median
$172
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: $502 (565%)
Insurance Median: $172 (193%)
Cash: $502 (565% of Medicare)
Ins. Median: $172 (193% 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 - $269 | 9% |
| Aids Health Foundation | $17 - $110 | 19% |
| Allied Physicians Medical Group | $17 - $161 | 19% |
| Altamed Health Network | $17 - $110 | 19% |
| Avanti | $17 - $134 | 19% |
| Beverly Hospital | $17 - $123 | 19% |
| Brand New Day | $17 - $140 | 19% |
| Emanate Health | $17 - $140 | 19% |
| Health Net Foundation | $17 - $350 | 19% |
| Healthy Way La | $17 - $26 | 19% |
| La Care Health Plan | $17 - $296 | 19% |
| Other Non Contracted Medi-Cal Hmo | $17 - $26 | 19% |
| State Of California | $17 - $26 | 19% |
| In Custody-Ca Highway Patrol | $20 | 22% |
| Allied Physicians | $25 - $165 | 28% |
| Associated Hispanic Physicians | $25 - $101 | 28% |
| Hollywood Presbyterian Adv Med Mcal | $25 - $37 | 28% |
| Hollywood Presbyterian Medpoint Mcal | $25 - $37 | 28% |
| Caloptima | $26 - $38 | 29% |
| Care 1St Medi Cal Hmo Cap Exceptional Care | $38 - $54 | 43% |
| Care First Health Plan | $38 - $54 | 43% |
| Central Health Plan | $45 - $377 | 51% |
| Clinica Medica Familiar | $46 - $269 | 52% |
| Bella Vista Medical Group Ipa | $77 - $242 | 87% |
| Employee Health Systems Medical Group | $77 - $108 | 87% |
| Global Care Medical Group Ipa | $77 - $242 | 87% |
| Veterans Administration | $78 | 88% |
| Alta Med Health Services Med Grp | $96 - $134 | 108% |
| Apa/Aco Inc | $110 | 124% |
| Blue Shield Of California | $110 - $269 | 124% |
| Cms | $110 | 124% |
| Easy Choice Health Plan | $110 | 124% |
| Health Net Inc | $110 - $381 | 124% |
| Other Non Contracted Senior Hmo | $110 | 124% |
| Pacific Alliance Medical Center Reciprocal Contract | $110 | 124% |
| Scan Health Plan | $110 | 124% |
| UnitedHealthcare | $110 - $462 | 124% |
| Champus Foundation | $112 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $112 | 126% |
| Good Samaritan Medical Practice Assoc | $112 - $323 | 126% |
| La Care Covered Direct | $112 | 126% |
| Pacificare Of California | $112 - $466 | 126% |
| Self-Pay | $112 | 126% |
| Ahmc Reciprocity Agreement | $115 - $161 | 129% |
| Ahmc Reciprocity Agreement Senior/Commercial | $115 - $161 | 129% |
| Lincoln Hospital Medical Center | $115 - $161 | 129% |
| Alignment Health Plan | $116 | 130% |
| Molina Healthcare | $116 | 130% |
| Inter Valley Health Plan | $118 | 133% |
| Molina Healthcare Of California | $118 - $210 | 133% |
| San Miguel Health Plan | $123 | 138% |
| Chinatown Service Center Pace | $132 | 148% |
| Intercomp | $134 | 151% |
| Knox-Keene Act | $140 | 157% |
| Preferred Health Network | $141 | 159% |
| Interplan | $144 - $404 | 162% |
| Athens Administrators | $149 | 168% |
| Multiplan | $149 - $457 | 168% |
| Other Non Contracted Work Comp | $149 | 168% |
| California Thoroughbred Horesmans Foundation | $192 - $269 | 216% |
| Universal Care | $192 - $377 | 216% |
| Cigna | $199 | 224% |
| Care 1St Health Plan | $230 - $323 | 259% |
| Cost Containment Strategies | $249 - $350 | 280% |
| In Custody Police Dept | $249 - $350 | 280% |
| Community Care Network | $306 - $430 | 344% |
| Health Payors Organization | $345 - $484 | 388% |
| Commercial Non Contract | $383 - $538 | 431% |
| Medi-Cal Sub Acute | $383 - $538 | 431% |
| Nuclear Medicine/Whmc | $383 - $538 | 431% |
| One Legacy | $383 - $538 | 431% |