CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Winn Parish Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $458
  • Cash Discount Price: $137
  • vs. Medicare Baseline: 5.15x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Winn Parish Medical Center is $458. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.15x the Medicare baseline. Located in 301 W Boundary Ave, Winnfield, LA.
Cash / Self-Pay
$137

Average discount available for prompt cash payment at this facility.

Insurance Median
$458

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: $137 (154%)
Insurance Median: $458 (515%)
Cash: $137 (154% of Medicare)
Ins. Median: $458 (515% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 515% of the Medicare baseline (a markup of 415%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $43 - $458 48%
Self Pay $137 154%
Blue Cross Blue Shield $143 161%
Medicare (plans) $143 161%
Medicaid / KanCare $145 - $159 163%
UnitedHealthcare $145 163%
Wellcare $145 163%
Humana $183 - $288 206%
Ima $229 258%
Multiplan Ppo $242 - $288 272%
Cigna $249 - $258 280%
Natl Assoc Of Letter Carr $249 - $458 280%
Ppoplus $274 308%
Zelis $274 308%
La Workers Comp Corp $412 463%
Workman'S Comp Op $412 463%
Aflac $458 515%
American Health Advantage $458 515%
American Retirement $458 515%
Amfirst $458 515%
Apwu Health Plan $458 515%
Attorney Claim $458 515%
Bankers Fidelity $458 515%
Commercial Miscellaneous $458 515%
Correct Care Integrated $458 515%
Fox Everett $458 515%
Gilsbar $458 515%
Guarantee Trust Life $458 515%
Heart Of Hospice $458 515%
Hospice Compassus $458 515%
Legacy Hospice $458 515%
Liberty Mutual $458 515%
Medico Insurance Company $458 515%
Meritain Health $458 515%
Miscellaneous $458 515%
Mutual Of Omaha $458 515%
New Era Life Ins $458 515%
Phcs $458 515%
Philadephia American $458 515%
Physicians Mutual $458 515%
Pipeline Ind Benefit Fund $458 515%
Rural Carrier Benefit $458 515%
Sentinel Security Life $458 515%
State Farm $458 515%
United American Ins $458 515%
United Of Omaha Life Ins $458 515%
Usaa Life Ins Co $458 515%
World Insurance Company $458 515%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W Boundary Ave, Winnfield, LA 71483
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals