CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Longs Peak Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $163
  • Cash Discount Price: $331
  • vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Longs Peak Hospital is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $331. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.83x the Medicare baseline. Located in 1750 E Ken Pratt Blvd, Longmont, CO.
Cash / Self-Pay
$331

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $331 (372%)
Insurance Median: $163 (183%)
Cash: $331 (372% of Medicare)
Ins. Median: $163 (183% 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.

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
Blue Cross Blue Shield $36 - $442 40%
Aetna $69 - $88 78%
Cigna $88 - $670 99%
Cms $88 99%
Devoted Health $88 99%
Humana $88 99%
Kaiser $88 99%
Select Health $88 - $98 99%
UnitedHealthcare $88 - $641 99%
Simplified Benefits Administration $333 - $395 375%
Denver Health Medical Plan $473 - $568 532%
Rocky Mountain Health Plan $482 542%
First Health $558 628%
Multiplan $568 - $653 639%
Phcs $662 745%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1750 E Ken Pratt Blvd, Longmont, CO 80504
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals