CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Ochsner St Anne General Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $95
  • Cash Discount Price: $135
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Ochsner St Anne General Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.07x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.
Cash / Self-Pay
$135

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $135 (152%)
Insurance Median: $95 (107%)
Cash: $135 (152% of Medicare)
Ins. Median: $95 (107% 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.

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
Medicaid / KanCare $67 75%
Tricare $85 - $95 96%
Humana $92 - $95 103%
UnitedHealthcare $92 - $182 103%
Healthy Blue (Healthy Louisiana) $93 105%
Louisiana Healthcare Connections (Healthy Louisiana) $93 105%
Aetna $94 - $99 106%
Amerihealth Caritas Louisiana (Healthy Louisiana) $94 106%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $95 107%
Blue Cross Blue Shield $95 - $118 107%
Healthy Blue Dual Advantage (Hmo-D-Snp) $95 107%
Medicare (plans) $95 107%
Ochsner Health Plan $95 107%
Healthcomp & Personify Health (Formerly Gilsbar) $230 259%
Louisiana Workers' Compensation Corporation (Lwcc) $230 259%
Mississippi Physicians Care Network $230 259%
Employers Health Network (Ehn) $261 294%
First Health Network $261 294%
Prime Health Services Ppo $261 294%
Claritev D/B/A Multiplan/Phcs/American Life Care $276 310%
Usa Managed Care Network $276 310%
Zelis $276 310%
Cigna $294 331%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4608 Highway 1, Raceland, LA 70394
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals