CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $81
Cash Discount Price: $70
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Ochsner Medical Center - Baton Rouge is $81. 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 0.91x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.

Cash / Self-Pay

$70

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: $70 (79%)

Insurance Median: $81 (91%)

Cash: $70 (79% 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
Zelis	$25	28%
Humana	$38 - $81	43%
UnitedHealthcare	$38 - $81	43%
Aetna	$39 - $62	44%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$39	44%
Healthy Blue (Healthy Louisiana)	$39	44%
Louisiana Healthcare Connections (Healthy Louisiana)	$39	44%
Blue Cross Blue Shield	$57 - $81	64%
Medicaid / KanCare	$67	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%
Tricare	$81	91%
Claritev D/B/A Multiplan/Phcs/American Life Care	$116	130%
Healthcomp & Personify Health (Formerly Gilsbar)	$116	130%
Louisiana Workers' Compensation Corporation (Lwcc)	$146	164%
Mississippi Physicians Care Network	$146	164%
First Health Network	$155	174%
Cigna	$160	180%
Prime Health Services Ppo	$165	186%
Usa Managed Care Network	$165	186%

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 $70.
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 - Baton Rouge 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.