CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Atrium Health Floyd Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $163
  • Cash Discount Price: $233
  • vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Atrium Health Floyd Medical Center is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.83x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.
Cash / Self-Pay
$233

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: $233 (262%)
Insurance Median: $163 (183%)
Cash: $233 (262% 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
Amerigroup $79 89%
Caresource $79 - $129 89%
Peach State Health Plan $79 89%
Blue Cross Blue Shield $86 - $347 97%
Cigna $86 - $279 97%
Georgia Assurance $86 97%
Humana $86 - $302 97%
UnitedHealthcare $86 - $349 97%
Aetna $87 - $316 98%
Clover $88 99%
Wellcare $88 99%
Awc Networks $91 102%
Oscar Health Plan $91 - $163 102%
Alliant Health Plans $129 - $186 145%
Ambetter / Centene $129 145%
Occunet $172 193%
Beacon $232 261%
Evernorth $232 261%
Multiplan $326 367%
Beech Street $363 408%
Private Health Care Systems $395 444%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 304 Turner McCall Boulevard, Rome, GA 30162
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals