CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Adventist Health Tehachapi Valley

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $82
Cash Discount Price: $49
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Adventist Health Tehachapi Valley is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.92x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$49

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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: $49 (55%)

Insurance Median: $82 (92%)

Cash: $49 (55% of Medicare)

Ins. Median: $82 (92% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$11 - $140	12%
Healthnet Mcare	$11 - $136	12%
Tricare	$11 - $136	12%
UnitedHealthcare	$11 - $351	12%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$11 - $136	12%
Ah Employee Health Plan - All Plans	$12 - $379	13%
Network Providers- All Plans	$12 - $174	13%
Oscar Health Plan- All Plans	$12 - $142	13%
Cigna	$13 - $559	15%
Coventry- All Plans	$13 - $644	15%
Blue Shield Epn- All Other Plans	$15 - $303	17%
Blue Shield Non-Epn	$16 - $358	18%
Centivo - All Plans	$16 - $306	18%
Healthnet- All Other Plans	$16 - $551	18%
Western Grwrs/Pinnacle - All Plans	$16 - $301	18%
Medi-Cal	$26 - $37	29%
Universal Ipa Mcal Op/Profee Only	$26 - $37	29%
Kaiser Medi-Cal Ip/Op Only	$37	42%
Medicare (plans)	$37 - $136	42%
Bc Mcal	$38	43%
Healthnet Medi-Cal	$46	52%
Khs-Kern Hlth Systm Mcal	$48	54%
Kaiser Ip/Op Only- All Other Plans	$64 - $234	72%
Klhp-Kern Legacy Epo -All Other Plans	$98 - $358	110%
Blue Cross Blue Shield	$101 - $413	114%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $49.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Tehachapi Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.