CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Novant Health Ballantyne Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $116
Cash Discount Price: $280
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Novant Health Ballantyne Medical Center is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $280. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.30x the Medicare baseline. Located in 10905 Providence Road W, Charlotte, NC.

Cash / Self-Pay

$280

Average discount available for prompt cash payment at this facility.

Insurance Median

$116

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: $280 (315%)

Insurance Median: $116 (130%)

Cash: $280 (315% of Medicare)

Ins. Median: $116 (130% 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
Blue Cross Blue Shield	$33 - $330	37%
Humana	$85 - $403	96%
Pace Of The Southern Piedmont	$85	96%
UnitedHealthcare	$85 - $327	96%
Aetna	$87 - $448	98%
Cigna	$87 - $288	98%
Liberty Health	$89	100%
Carolina Complete	$114	128%
Nc Department Of Public Safety	$114 - $169	128%
Amerihealth	$116	130%
Wellcare	$116	130%
Caresource North Carolina	$185	208%
Atlantic Corporation Dba Atlantic Packaging	$258	290%
Amps	$308	346%
Plotkin Health	$336	378%
Medcost	$398 - $420	448%
Primary Physician Care	$414	466%
Multiplan	$420	472%
Phcs	$420	472%
Employers Choice Network	$543	611%
Three Rivers Provider Network	$543	611%

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 $280.
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 Novant Health Ballantyne 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.