CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Gunnison Valley Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $234
Cash Discount Price: $285
vs. Medicare Baseline: 2.63x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Gunnison Valley Hospital is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.63x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$285

Average discount available for prompt cash payment at this facility.

Insurance Median

$234

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: $285 (321%)

Insurance Median: $234 (263%)

Cash: $285 (321% of Medicare)

Ins. Median: $234 (263% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 263% of the Medicare baseline (a markup of 163%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Cigna	$9 - $383	10%
Medicare (plans)	$11 - $191	12%
Aetna	$15 - $375	17%
Apostrophe-All Plans	$17 - $352	19%
Gunnison County Sheriff Op & Profee Only	$33 - $200	37%
Medicaid / KanCare	$34 - $76	38%
Ebms Hdhp	$39 - $234	44%
Tetwp Op & Profee Only-All Plans	$39 - $234	44%
U Of Co Transplant-All Plans	$39 - $234	44%
Ebms Ppo Plan-All Other Plans	$45 - $273	51%
Gunnison County Employees-All Other Plans	$52 - $312	58%
Scottish Rites-All Plans	$52 - $312	58%
Elap Employers-All Plans	$55 - $332	62%
Blue Cross Blue Shield	$57 - $342	64%
Multiplan-All Plans	$58 - $363	65%
Cofinity-All Plans	$62 - $375	70%
Rocky Mountain Health-All Plans	$62 - $371	70%
UnitedHealthcare	$62 - $371	70%
Gunnison County Coroner Op Only	$200	225%

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 $285.
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 Gunnison Valley Hospital 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.