CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Adventist Health Tehachapi Valley

Billing Code: 72040 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$66

about 0.7× the $89 Medicare rate · typically $15–$138

modeled estimate · not a bill or quote

Medicare pays $89 Fair price $66 Cash price $49 Hospital's list price $180

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$11 - $351	12%
Blue Cross Blue Shieldmajor	$15 - $413	17%
Aetnamajor	$11 - $644	12%
Cignamajor	$13 - $559	15%
Kaiser Permanentemajor	$64 - $234	72%
Health Net	$11 - $551	12%
Oscar Health	$12 - $142	13%
+ 9 smaller / regional plans	$11 - $379

Government programs also on file: Medicare, Medicaid, Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 49), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72040.

Insurance Before you use insurance

Call your insurance company to confirm Adventist Health Tehachapi Valley is in-network.
Ask your insurer whether prior approval is required for CPT code 72040.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Adventist Health Tehachapi Valley

Compare: X-ray, neck (cervical spine) at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.