CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Adventist Health Clearlake

Billing Code: 72040 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$267

about 3.0× the $89 Medicare rate · typically $83–$428

modeled estimate · not a bill or quote

What this hospital charges insurers

$212

Below the fair price — a good deal

about $55 under the fair price · 2.4× Medicare

Medicare pays $89 Fair price $267 This hospital $212 Cash price $321 Hospital's list price $893

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $212

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, neck (cervical spine) is about $267 (about 3.0× the $89 Medicare rate). Adventist Health Clearlake charges insurers about $212, or about $321 in cash — below the fair price — a good deal. Located in Clearlake, CA.

What each insurance company pays

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

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

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

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	$199 - $771	224%
Blue Cross Blue Shieldmajor	$151 - $234	170%
Aetnamajor	$643 - $691	723%
Cignamajor	$774 - $832	871%
Humanamajor	$731 - $786	822%
Kaiser Permanentemajor	$181 - $832	204%
Health Net	$705 - $758	793%
+ 6 smaller / regional plans	$37 - $1,526

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

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 321), 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 Clearlake 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 Clearlake

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

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