CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: North Oaks Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $80
  • Cash Discount Price: $178
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at North Oaks Medical Center is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.90x the Medicare baseline. Located in 15790 Paul Vega Md Drive, Hammond, LA.
Cash / Self-Pay
$178

Average discount available for prompt cash payment at this facility.

Insurance Median
$80

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: $178 (200%)
Insurance Median: $80 (90%)
Cash: $178 (200% of Medicare)
Ins. Median: $80 (90% 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
Tricare $50 - $80 56%
Mco Lhc $52 58%
Aetna $53 - $632 60%
Humana $53 - $557 60%
Mco Hb $53 60%
Mco Lacare Am $53 60%
Medicaid / KanCare $53 60%
UnitedHealthcare $53 - $357 60%
Allwell $80 90%
Blue Advantage $80 90%
Champva $80 90%
Healthy Blue Dual Advantage $80 90%
Peoples Health $80 90%
Vantage 65 $80 90%
Veterans Administration $80 90%
Wellcare $80 90%
Blue Cross Blue Shield $175 - $178 197%
Coventry $483 543%
Verity Healthnet $483 543%
Ppoplus Llc $520 585%
Multiplan $557 626%
Cigna $587 660%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15790 Paul Vega Md Drive, Hammond, LA 70403
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals