CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Doctors Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $182
Cash Discount Price: $1,514
vs. Medicare Baseline: 2.05x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Doctors Hospital is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,514. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.05x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.

Cash / Self-Pay

$1,514

Average discount available for prompt cash payment at this facility.

Insurance Median

$182

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: $1,514 (1703%)

Insurance Median: $182 (205%)

Cash: $1,514 (1703% of Medicare)

Ins. Median: $182 (205% 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 205% of the Medicare baseline (a markup of 105%). 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	$15 - $79	17%
Blue Choice	$39	44%
Health One Alliance	$44	49%
Aetna	$64 - $834	72%
Ambetter / Centene	$118	133%
United	$182 - $681	205%
Amerigroup	$215	242%
Prime Health	$221	249%
Rockport United Network	$226	254%
Identity Mco	$231	260%
Absolute Total Care	$272	306%
Nhc Advantage	$288	324%
Pruitt Health	$288	324%
Peach State	$303	341%
Wellcare	$303	341%
Centurion	$419	471%
Americas 1St Choice	$424	477%
Medcost	$758 - $967	853%
Kaiser Permanente	$827	930%
Multiplan	$908 - $1,362	1021%
Performax	$1,029	1157%
First Health	$1,135	1277%
Employer'S Health Network	$1,211	1362%
Novanet	$1,362	1532%

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 $1,514.
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 Doctors 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.