CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Fairview Park Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $231
Cash Discount Price: $2,170
vs. Medicare Baseline: 2.60x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Fairview Park Hospital is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,170. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.60x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.

Cash / Self-Pay

$2,170

Average discount available for prompt cash payment at this facility.

Insurance Median

$231

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: $2,170 (2441%)

Insurance Median: $231 (260%)

Cash: $2,170 (2441% of Medicare)

Ins. Median: $231 (260% 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 260% of the Medicare baseline (a markup of 160%). 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
Blue Cross Blue Shield	$14 - $68	16%
Core Resources	$42	47%
Health One Alliance	$44	49%
Aetna	$53 - $1,196	60%
Ambetter / Centene	$104	117%
United	$182 - $976	205%
Prime Health	$221	249%
Employer'S Health Network	$226	254%
Rockport United Network	$226	254%
Identity Mco	$231	260%
Synergy Health Network	$231	260%
Amerigroup	$291	327%
Nhc Advantage	$412	463%
Pruitt Health	$412	463%
Peach State	$434	488%
Wellcare	$434	488%
Memorial Health Plan	$477 - $976	536%
Centurion	$601	676%
Americas 1St Choice	$608	684%
Leavitt Risk Partners	$651	732%
Dodge County Hospital	$1,085	1220%
American Steel Products	$1,844	2074%
City Of Eastman	$1,844	2074%
Dodge Co Board Of Commissioners	$1,844	2074%
Graham Brothers Construction	$1,844	2074%
Multiplan	$1,953	2197%
Novanet	$1,953	2197%

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 $2,170.
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 Fairview Park 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.