CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Catawba Valley Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $123
Cash Discount Price: $367
vs. Medicare Baseline: 1.38x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Catawba Valley Medical Center is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $367. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.38x the Medicare baseline. Located in 810 Fairgrove Church Rd, Hickory, NC.

Cash / Self-Pay

$367

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

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: $367 (413%)

Insurance Median: $123 (138%)

Cash: $367 (413% of Medicare)

Ins. Median: $123 (138% 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
UnitedHealthcare	$44 - $123	49%
Cigna	$84 - $336	94%
Humana	$86 - $489	97%
Wellcare	$87	98%
Blue Cross Blue Shield	$88 - $298	99%
Devoted Health	$88	99%
Gateway	$88	99%
Longevity Healthcare	$88	99%
Liberty Advantage	$89	100%
Mdsave	$89	100%
Troy	$89	100%
Caresource North Carolina	$189	213%
Medcost	$306 - $419	344%
Directnet	$367	413%
Aetna	$372	418%
Prime Health Service	$458	515%
Multiplan	$519	584%

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 $367.
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 Catawba Valley Medical Center 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.