CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Artesia General Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $446
Cash Discount Price: $355
vs. Medicare Baseline: 5.02x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Artesia General Hospital is $446. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $355. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.02x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$355

Average discount available for prompt cash payment at this facility.

Insurance Median

$446

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: $355 (399%)

Insurance Median: $446 (502%)

Cash: $355 (399% of Medicare)

Ins. Median: $446 (502% 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 502% of the Medicare baseline (a markup of 402%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Zelis	$34 - $255	38%
First Health	$48 - $573	54%
Triwest	$84	94%
Blue Cross Blue Shield	$85 - $382	96%
Geha	$85 - $510	96%
Humana	$85 - $94	96%
Molina Healthcare Of New Mexico	$85 - $143	96%
Presbyterian Health Plan	$85 - $133	96%
UnitedHealthcare	$85 - $541	96%
Vistacare Hospice	$85	96%
New Mexico Health Connections	$145	163%
Providence Risk & Insurance Services	$171 - $605	192%
Omni Networks	$382 - $446	430%
Three Rivers Provider Network	$409 - $478	460%
Cigna	$463 - $573	521%
Galaxy Health	$490 - $573	551%
One Health Plan	$490 - $573	551%
Multiplan	$496 - $580	558%
United Payors & United Providers	$507 - $592	570%

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 $355.
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 Artesia General Hospital 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.