CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Bienville Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $183
  • Cash Discount Price: $203
  • vs. Medicare Baseline: 2.06x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Bienville Medical Center is $183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $203. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.06x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.
Cash / Self-Pay
$203

Average discount available for prompt cash payment at this facility.

Insurance Median
$183

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: $203 (228%)
Insurance Median: $183 (206%)
Cash: $203 (228% of Medicare)
Ins. Median: $183 (206% 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 206% of the Medicare baseline (a markup of 106%). 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 $20 - $339 22%
Medicaid / KanCare $20 - $199 22%
Mmd Amerihealth Caritas $20 - $199 22%
Mmd Healthy Blue $20 - $199 22%
Mmd La Hlth Conn $20 - $199 22%
Mmd Misc $20 - $199 22%
UnitedHealthcare $20 - $199 22%
Cashiering $136 - $203 153%
Cigna $170 191%
Ambetter / Centene $183 206%
Humana $183 - $219 206%
Mcr American Hlth Adv $183 206%
Medicare (plans) $183 206%
Misc Mgd Care $183 - $339 206%
Mmc Blue Advantage $183 206%
Mmc Misc $183 206%
Peoples Health Mcr Adv $183 206%
Va Health $183 206%
Blue Cross Blue Shield $204 229%
Wc City Of Arcadia $305 343%
Wc House Of Raeford $305 343%
Wc Misc $305 343%
Wc Stonetrust $305 343%
Aarp $339 381%
Allegiance Health Managme $339 381%
Amfirst $339 381%
Apwu $339 381%
Liberty Mutual $339 381%
Misc Comm A-L $339 381%
Misc Comm M-Z $339 381%
Tricare $339 381%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1175 Pine Street, Arcadia, LA 71001
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals