CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: St Charles Parish Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $117
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at St Charles Parish Hospital is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.32x the Medicare baseline. Located in 1057 Paul Maillard Road, Luling, LA.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $70 (79%)
Insurance Median: $117 (132%)
Cash: $70 (79% of Medicare)
Ins. Median: $117 (132% 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 $32 - $77 36%
Medicaid / KanCare $67 75%
Blue Cross Blue Shield $71 - $81 80%
Aetna $81 - $181 91%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $81 91%
Healthy Blue Dual Advantage (Hmo-D-Snp) $81 91%
Humana $81 - $117 91%
Medicare (plans) $81 91%
Ochsner Health Plan $81 91%
UnitedHealthcare $81 - $182 91%
Amerihealth Caritas Louisiana (Healthy Louisiana) $117 132%
Healthy Blue (Healthy Louisiana) $117 132%
Louisiana Healthcare Connections (Healthy Louisiana) $117 132%
Cigna $151 170%
Zelis $155 174%
Galaxy Health Network Ppo $194 218%
Galaxy Health Network Wc $194 218%
Louisiana Workers' Compensation Corporation (Lwcc) $194 218%
Healthcomp & Personify Health (Formerly Gilsbar) $199 224%
Claritev D/B/A Multiplan/Phcs/American Life Care $206 232%
First Health Network $219 246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1057 Paul Maillard Road, Luling, LA 70070
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals