CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HCA Healthone Spalding Rehabilitation

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $254
Cash Discount Price: $621
vs. Medicare Baseline: 2.86x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at HCA Healthone Spalding Rehabilitation is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $621. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.86x the Medicare baseline. Located in 900 Potomac St, Aurora, CO.

Cash / Self-Pay

$621

Average discount available for prompt cash payment at this facility.

Insurance Median

$254

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: $621 (698%)

Insurance Median: $254 (286%)

Cash: $621 (698% of Medicare)

Ins. Median: $254 (286% 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 286% of the Medicare baseline (a markup of 186%). 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
Vail Health	$90 - $99	101%
United	$123 - $293	138%
Blue Cross Blue Shield	$125 - $443	141%
Pinnacol Workers Comp	$140	157%
Multiplan	$146 - $586	164%
Cigna	$159 - $417	179%
Aetna	$178 - $330	200%
Rocky Mountain Health Plan	$182	205%
Kaiser	$197 - $388	222%
Western Plains Community Health	$385 - $423	433%
Triwest Health Alliance	$473 - $521	532%
Prime Health	$533 - $586	599%

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 $621.
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 HCA Healthone Spalding Rehabilitation 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.