CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Caromont Regional Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $147
  • Cash Discount Price: $525
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Caromont Regional Medical Center is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $525. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.65x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$525

Average discount available for prompt cash payment at this facility.

Insurance Median
$147

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: $525 (590%)
Insurance Median: $147 (165%)
Cash: $525 (590% of Medicare)
Ins. Median: $147 (165% 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
Blue Cross Blue Shield $79 - $174 89%
Carolina Complete Health $79 89%
Partners Behavioral Health $79 89%
Alliance Behavioral Health $81 91%
Amerihealth Caritas $81 91%
Carolina Complete Health Tailored Plans $81 91%
UnitedHealthcare $81 - $128 91%
Vaya Behavioral Health $81 91%
Wellcare $81 91%
Aetna $92 - $170 103%
Devoted Health $93 105%
Healthteam $93 105%
Longevity Health $93 105%
Molina $93 - $147 105%
Humana $95 - $462 107%
Cigna $139 - $165 156%
Absolute Total Care $147 165%
Surgery Plus $156 175%
Gaston County Jail $158 178%
Carolina Caring $222 - $416 250%
Corporate Benefits Service $239 269%
Medcost $357 402%
Self Pay $394 443%
Beech Street $430 484%
Multiplan $430 484%
First Health Network $499 561%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals