CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Avoyelles Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $457
  • Cash Discount Price: $152
  • vs. Medicare Baseline: 5.14x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Avoyelles Hospital is $457. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.14x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$152

Average discount available for prompt cash payment at this facility.

Insurance Median
$457

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: $152 (171%)
Insurance Median: $457 (514%)
Cash: $152 (171% of Medicare)
Ins. Median: $457 (514% 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 514% of the Medicare baseline (a markup of 414%). 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 $40 - $285 45%
Amer Contl Ins $40 - $285 45%
Coventry $40 - $285 45%
First Choice Health $40 - $285 45%
Meritan Health $40 - $508 45%
Cigna $106 - $287 119%
Correct Cr Int Hlt $106 119%
Mcd Amerihealth Caritas $106 119%
Mcd Healthy Blue $106 119%
Mcd La Hc Conn $106 119%
Medicaid / KanCare $106 119%
UnitedHealthcare $106 119%
Mcd Ms $116 130%
Blue Cross Blue Shield $125 141%
Ofc Of Grp Bene $125 141%
Student Assurances $152 - $508 171%
Humana $183 - $288 206%
Ppo Plus Llc $305 343%
Zelis Healthcare Bpa $305 343%
Gilsbar $320 360%
Amerind $457 514%
Applied Underwriters $457 514%
Sedgwick $457 514%
Us Dept Of Labor $457 514%
Wc Clms Admin Svcs $457 514%
Wc Clms Mgmnt Walmart $457 514%
Wc Esis $457 514%
Wc Fara $457 514%
Wc Gallagher Bassett $457 514%
Wc Guide One $457 514%
Wc Hartford Med $457 514%
Wc Luba $457 514%
Wc Lwcc $457 514%
Wc Paragon Casino Resort $457 514%
Wc Risk Mgmnt $457 514%
Wc Stone Trust $457 514%
Wc Summit Consulting Hold $457 514%
Wc Travelers Ins $457 514%
Wc Trs Workers Comp Claim $457 514%
Wc Us Dol $457 514%
Wc Zurich $457 514%
Aarp $508 571%
Admin Concepts $508 571%
All Saints Hospice $508 571%
All State $508 571%
Allegiance Health Hospice $508 571%
Allied Natl $508 571%
Amfirst $508 571%
Avoy Parish School Board $508 571%
Avoyelles Parish Sheriff $508 571%
Bollinger $508 571%
Ccmsi $508 571%
Central States $508 571%
Christus Health Plan $508 571%
Compassionate Care Hospic $508 571%
Core Source $508 571%
Coushatta Hlth Dept $508 571%
Ebms $508 571%
Federated Ins $508 571%
Feedom Life $508 571%
Fidelity Standard Life Co $508 571%
Fox Everette $508 571%
Guarantee Trust $508 571%
Heart Of Hospice $508 571%
Hos Christus Hospice $508 571%
Hos Guardian Hospice Care $508 571%
Hos Harbor Hospice Alex $508 571%
Hos La Hospice Palliative $508 571%
Hos Passages Hospice N. $508 571%
Hos St Joseph Hospice $508 571%
Hospice Miscellaneous $508 571%
Ins Mgmnt Admin $508 571%
Ins Tpa $508 571%
Liberty Health Share $508 571%
Lumico $508 571%
Manhattan Life Ins $508 571%
Medi Share $508 571%
Misc Comm $508 571%
Nalc $508 571%
New Era Life $508 571%
North American $508 571%
Phcs $508 571%
Physicians Mutual $508 571%
Pipeline Ind Bene $508 571%
Progressive Auto $508 571%
Reliance Standard Life $508 571%
Rural Carriers $508 571%
Shelter Ins Co $508 571%
Sierre Health And Life $508 571%
State Farm $508 571%
State Mutual $508 571%
Sterling Investors $508 571%
The Health Plan $508 571%
Tribal Hlth Partners $508 571%
Tricare $508 571%
Trustmark Health Benefits $508 571%
Tunica Biloxi $508 571%
Uct $508 571%
Unified Life $508 571%
Usaa Life Ins $508 571%
Web-Tpa $508 571%
Woodmen Of The World $508 571%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4231 Highway 1192, Marksville, LA 71351
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals