CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Athur M Blank Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $409
Cash Discount Price: $597
vs. Medicare Baseline: 4.60x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Athur M Blank Hospital is $409. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $597. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.60x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$597

Average discount available for prompt cash payment at this facility.

Insurance Median

$409

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: $597 (671%)

Insurance Median: $409 (460%)

Cash: $597 (671% of Medicare)

Ins. Median: $409 (460% 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 460% of the Medicare baseline (a markup of 360%). 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
Peachstate [43]	$255	287%
Caresource [61]	$262	295%
Amerigroup [102]	$275	309%
Cigna	$395	444%
Blue Cross Blue Shield	$396 - $583	445%
United [5]	$396	445%
Ambetter / Centene	$400	450%
Oscar [228]	$400	450%
Aetna	$402	452%
Caresource Marketplace Bronze/Silver/Gold [60]	$406	457%
Kaiser [6]	$406	457%
Sidecar Health [236]	$412	463%
Direct Employer Agreements [72]	$418 - $507	470%
Coventry [9]	$419	471%
First Health [74]	$448	504%
Northeast Georgia Heatlh System [808]	$448	504%
Veracity Benefits [809]	$448	504%
Phcs [93]	$507	570%
Secure Health [340]	$507	570%
Beech Street [71]	$537	604%
Multiplan [92]	$585	658%
Novanet [41]	$597	671%

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 $597.
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 Athur M Blank 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.