CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Terrebonne General Medical Center - Parish

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $148
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Terrebonne General Medical Center - Parish is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.66x the Medicare baseline. Located in 8166 Main Street, Houma, LA.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$148

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: $193 (217%)
Insurance Median: $148 (166%)
Cash: $193 (217% of Medicare)
Ins. Median: $148 (166% 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.

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
Champ Va $25 28%
Medicaid / KanCare $47 53%
UnitedHealthcare $47 - $260 53%
Aetna $48 - $115 54%
Amerihealth $48 54%
Humana $49 - $237 55%
Ppoplus $55 62%
Blue Cross Blue Shield $78 - $199 88%
Dept Of Veterans Affairs $78 88%
Medicare (plans) $78 88%
Tricare $79 89%
Amg $83 93%
Verity Health $148 166%
Multiplan Inc $169 190%
Cigna $175 197%
Vantage Health Plan $197 222%
Coventry Health Of Louisiana $208 234%
Gilsbar 360 $231 260%
Workers Comp $260 292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8166 Main Street, Houma, LA 70360
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals