CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $227
Cash Discount Price: $1,512
vs. Medicare Baseline: 2.55x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Southern Hills Hospital and Medical Center is $227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,512. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.55x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$1,512

Average discount available for prompt cash payment at this facility.

Insurance Median

$227

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: $1,512 (1701%)

Insurance Median: $227 (255%)

Cash: $1,512 (1701% of Medicare)

Ins. Median: $227 (255% 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 255% of the Medicare baseline (a markup of 155%). 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
Blue Cross Blue Shield	$11 - $52	12%
Ambetter / Centene	$13 - $455	15%
United	$59 - $473	66%
Aetna	$62	70%
Corvel	$100	112%
Olympus Medsave Usa	$106 - $1,627	119%
Sierra	$140	157%
Select Health	$185 - $500	208%
Prominence Healthfirst	$256 - $651	288%
Cmn Global	$359 - $911	404%
Evernorth	$428 - $1,084	481%
Cigna	$452	508%
Nv Health & Welfare Trust	$513 - $1,301	577%
Multiplan	$539 - $1,583	606%
First Health	$564 - $1,735	634%
Medcare International	$641 - $1,627	721%

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 $1,512.
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 Southern Hills Hospital and 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.