CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Abbeville General Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $79
Cash Discount Price: $149
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Abbeville General Hospital is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.89x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.

Cash / Self-Pay

$149

Average discount available for prompt cash payment at this facility.

Insurance Median

$79

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: $149 (168%)

Insurance Median: $79 (89%)

Cash: $149 (168% of Medicare)

Ins. Median: $79 (89% 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
Cigna	$22 - $271	25%
Self Pay	$24 - $273	27%
Humana	$32 - $409	36%
Triwest Healthcare Alliance	$32 - $355	36%
Aetna	$34 - $382	38%
Blue Cross Blue Shield	$35 - $154	39%
Gilsbar Ppo	$36 - $423	40%
Ppo Plus	$36 - $409	40%
United Behavioral Health Inc	$36 - $409	40%
Verity Healthnet National	$36 - $409	40%
American Lifecare (Phcs)	$38 - $437	43%
Guardian Resources	$39 - $437	44%
UnitedHealthcare	$39 - $437	44%
Coventry Company	$41 - $464	46%
Galaxy Health Network	$41 - $464	46%
Usa Managed Care	$41 - $464	46%
Health Payors Organization	$44 - $491	49%
Ppo Plus Professional	$45	51%
Miscellaneous Insurance	$48 - $546	54%
Wellcare Of Louisiana	$48 - $546	54%
Healthy Blue	$78	88%
People'S Health	$78	88%
Medicare (plans)	$79	89%
Sierra Health And Life Insurance	$79	89%
Sterling Life Insurance Company	$79	89%
Vantage Health Plan	$87 - $982	98%
Office Of Group Benefits	$88	99%
Med-Comp Usa Inc	$117	132%

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 $149.
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 Abbeville General 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.