CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $91
Cash Discount Price: $197
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Surgical Specialty Center of Baton Rouge is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.02x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$197

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $197 (222%)

Insurance Median: $91 (102%)

Cash: $197 (222% of Medicare)

Ins. Median: $91 (102% 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
Aetna	$30 - $81	34%
Amerihealth	$30	34%
Healthy_Blue	$30	34%
Humana	$30 - $119	34%
Lhc	$30	34%
Medicaid / KanCare	$30	34%
United_Caid	$30	34%
Coventry	$32	36%
Verity	$32	36%
Workcomp_Cov	$32	36%
Ehn	$52	58%
Lsufirst	$74	83%
Cigna	$76	85%
Blue Cross Blue Shield	$79 - $99	89%
Medadv-Peoples	$79	89%
Medicare (plans)	$79	89%
Tricare	$79	89%
UnitedHealthcare	$79	89%
Va	$80	90%
Wellcare	$83	93%
Lucent	$110	124%
Gilsbar	$128	144%
Multiplan-Pos	$157	177%
Multiplan-Ppo	$157	177%
Ppoplus	$160	180%
Ambetter / Centene	$164	184%
Stjude	$170	191%
Workcomp_Saints	$181	204%
United	$182	205%
Bayou-Med	$183	206%
Dma	$183	206%
Lsu	$183	206%
Southern-Univ	$183	206%
Womans_Hosp	$183	206%
Reny	$196	220%
Workcomp_3R	$212	238%
Three_Rivers	$223	251%
Workcomp_Strat	$223	251%
Geha	$231	260%
Workcomp_Fp	$236	265%
Usa_Mco	$246	277%
Uhc_Commcoffee	$262	295%

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 $197.
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 Surgical Specialty Center of 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.