CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: National Jewish Health

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $177
Cash Discount Price: $191
vs. Medicare Baseline: 1.99x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at National Jewish Health is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $191. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.99x the Medicare baseline. Located in 1400 Jackson St, Denver, CO.

Cash / Self-Pay

$191

Average discount available for prompt cash payment at this facility.

Insurance Median

$177

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: $191 (215%)

Insurance Median: $177 (199%)

Cash: $191 (215% of Medicare)

Ins. Median: $177 (199% 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	$92 - $191	103%
Blue Cross Blue Shield	$92 - $205	103%
Cms	$92	103%
Select Health	$92 - $193	103%
Humana	$110 - $177	124%
Kaiser	$110 - $232	124%
UnitedHealthcare	$110	124%
Cigna	$139 - $218	156%
Multiplan	$205	231%
Phcs	$205	231%
Rocky_Mountain_Health	$205	231%

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 $191.
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 National Jewish Health 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.