CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Ochsner Lafayette General Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $35
Cash Discount Price: $58
vs. Medicare Baseline: 0.39x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Ochsner Lafayette General Medical Center is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.39x the Medicare baseline. Located in 1214 Coolidge Avenue, Lafayette, LA.

Cash / Self-Pay

$58

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $58 (65%)

Insurance Median: $35 (39%)

Cash: $58 (65% of Medicare)

Ins. Median: $35 (39% 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
Verity Commercial And First Choice Network	$16 - $150	18%
Aetna	$23 - $152	26%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$23 - $34	26%
Healthy Blue (Healthy Louisiana)	$23 - $34	26%
Humana	$23 - $80	26%
Louisiana Healthcare Connections (Healthy Louisiana)	$23 - $34	26%
UnitedHealthcare	$23 - $80	26%
Cigna	$25 - $122	28%
Zelis	$27 - $166	30%
Blue Cross Blue Shield	$35 - $219	39%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$35 - $80	39%
Medicare (plans)	$35 - $80	39%
Ochsner Health Plan	$35 - $80	39%
Wellcare Of Louisiana	$35 - $84	39%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$36 - $82	40%
Tricare	$36 - $80	40%

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 $58.
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 Ochsner Lafayette General 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.