CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Grady Memorial Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $88
Cash Discount Price: $873
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Grady Memorial Hospital is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $873. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.99x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.

Cash / Self-Pay

$873

Average discount available for prompt cash payment at this facility.

Insurance Median

$88

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: $873 (982%)

Insurance Median: $88 (99%)

Cash: $873 (982% of Medicare)

Ins. Median: $88 (99% 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
Aetna	$10 - $388	11%
Ambetter / Centene	$10 - $129	11%
Amerigroup	$10 - $142	11%
Blue Cross Blue Shield	$10 - $698	11%
Caresource	$10 - $140	11%
Cigna	$10 - $516	11%
Humana	$10 - $88	11%
Kaiser	$10 - $662	11%
Medicare (plans)	$10 - $88	11%
Peach State	$10 - $130	11%
UnitedHealthcare	$10 - $629	11%
Vaccn	$10 - $88	11%
Wellcare	$10 - $88	11%
Clear Spring Health	$11 - $92	12%
Clover	$11 - $92	12%
Usp Naphcare	$11 - $524	12%
Oscar Health	$15 - $567	17%
Multiplan	$672	756%

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 $873.
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 Grady Memorial 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.