CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Ochsner Medical Center Acute

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $81
Cash Discount Price: $54
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Ochsner Medical Center Acute is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.91x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$81

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: $54 (61%)

Insurance Median: $81 (91%)

Cash: $54 (61% of Medicare)

Ins. Median: $81 (91% 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
Tricare	$32 - $81	36%
Humana	$33 - $81	37%
UnitedHealthcare	$33 - $182	37%
Aetna	$34 - $100	38%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$34	38%
Healthy Blue (Healthy Louisiana)	$34	38%
Louisiana Healthcare Connections (Healthy Louisiana)	$34	38%
Blue Cross Blue Shield	$63 - $81	71%
Medicaid / KanCare	$67 - $71	75%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$81	91%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$81	91%
Medicare (plans)	$81	91%
Ochsner Health Plan	$81	91%
Pace New Orleans	$89	100%
Christus Health Exchange Plan	$121	136%
Cigna	$127	143%
First Health Network	$164	184%
Louisiana Workers' Compensation Corporation (Lwcc)	$164	184%
Mississippi Physicians Care Network	$164	184%
Healthcomp & Personify Health (Formerly Gilsbar)	$172	193%
Claritev D/B/A Multiplan/Phcs/American Life Care	$174	196%
Zelis	$174	196%
Employers Health Network (Ehn)	$185	208%
Prime Health Services Ppo	$185	208%
Usa Managed Care Network	$185	208%
Behavioral Health Systems	$196	220%
Evolutions Healthcare	$196	220%
Galaxy Health Network Ppo	$196	220%
Galaxy Health Network Wc	$196	220%

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 $54.
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 Medical Center Acute 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.