CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Memorial Satilla Health

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $84
Cash Discount Price: $1,356
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Memorial Satilla Health is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,356. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.94x the Medicare baseline. Located in 1900 Tebeau Street, Waycross, GA.

Cash / Self-Pay

$1,356

Average discount available for prompt cash payment at this facility.

Insurance Median

$84

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: $1,356 (1525%)

Insurance Median: $84 (94%)

Cash: $1,356 (1525% of Medicare)

Ins. Median: $84 (94% 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
Blue Cross Blue Shield	$16 - $77	18%
Health One Alliance	$44	49%
Aetna	$53 - $748	60%
Ambetter / Centene	$91	102%
Amerigroup	$182	205%
United	$182 - $610	205%
Prime Health	$221	249%
Employer'S Health Network	$226	254%
Nhc Advantage	$258	290%
Pruitt Health	$258	290%
Peach State	$271	305%
Wellcare	$271	305%
Centurion	$375	422%
Value Option	$678	763%
Multiplan	$913	1027%
Cigna	$1,085	1220%
Novanet	$1,220	1372%

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 $1,356.
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 Memorial Satilla 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.