CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Sunrise Hospital and Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $29
  • Cash Discount Price: $148
  • vs. Medicare Baseline: 0.33x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Sunrise Hospital and Medical Center is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.33x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$148

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $148 (166%)
Insurance Median: $29 (33%)
Cash: $148 (166% of Medicare)
Ins. Median: $29 (33% 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 $7 - $127 8%
United $7 - $586 8%
Humana $8 - $40 9%
Amerigroup $9 - $39 10%
Health Plan Nevada $9 - $40 10%
Aetna $10 - $61 11%
Alignment Health Plan $10 - $38 11%
Healthcare Partners Of Nv $10 - $51 11%
Molina $10 - $43 11%
Silver Summit $10 - $48 11%
Caremore $11 - $40 12%
Multiplan $11 - $2,048 12%
Community Care Health $12 - $38 13%
Culinary Health Fund $12 - $58 13%
Hometown Health Providers $12 - $69 13%
Molina Healthcare $12 - $40 13%
Sierra Hpn $12 - $38 13%
Ambetter / Centene $13 - $589 15%
Cigna $13 - $452 15%
Sierra $13 - $182 15%
Select Health $21 - $647 24%
Legacy Provider Network $90 101%
Corvel $95 - $100 107%
Comp-Med Workers Comp $97 109%
Olympus Medsave Usa $100 - $2,104 112%
Prominence Healthfirst $767 - $842 863%
Cmn Global $1,074 - $1,179 1208%
Nv Health & Welfare Trust $1,534 - $1,684 1725%
First Health $1,688 - $2,245 1899%
Medcare International $1,918 - $2,104 2157%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals