CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Tift Regional Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $183
Cash Discount Price: $111
vs. Medicare Baseline: 2.06x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Tift Regional Medical Center is $183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.06x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$183

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: $111 (125%)

Insurance Median: $183 (206%)

Cash: $111 (125% of Medicare)

Ins. Median: $183 (206% 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 206% of the Medicare baseline (a markup of 106%). 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
Tricare	$34 - $4,260	38%
Wellcare	$39 - $4,734	44%
Peach State Health Plan	$40	45%
Amerigroup	$45 - $131	51%
Medicaid / KanCare	$45 - $131	51%
Peachstate	$47 - $138	53%
Caresource	$49 - $144	55%
Health One Alliance	$51 - $6,866	57%
Caresource Marketplace Exchange	$52 - $7,103	58%
Zelis Network Solutions	$59 - $9,470	66%
Va Contract	$61 - $3,551	69%
Blue Cross Blue Shield	$78 - $4,735	88%
Hospice	$80 - $4,641	90%
Medicare (plans)	$80 - $4,641	90%
Aetna	$82 - $4,734	92%
Clover Health	$82 - $4,734	92%
UnitedHealthcare	$82 - $4,735	92%
Humana	$86 - $4,972	97%
Pruitt Health Premier	$88 - $5,105	99%
Self Pay 50	$100 - $292	112%
Ga Workers Comp	$119	134%
Misc Commercial Insurance Plans	$180 - $525	202%
Self Pay	$180 - $525	202%
Cigna	$183 - $532	206%
Misc Non Contracted Commercial Plans	$200 - $583	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 $111.
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 Tift Regional Medical Center 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.