CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Carnegie Tri-County Municipal Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $184
Cash Discount Price: $184
vs. Medicare Baseline: 2.07x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Carnegie Tri-County Municipal Hospital is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.07x the Medicare baseline. Located in 102 North Broadway, Carnegie, OK.

Cash / Self-Pay

$184

Average discount available for prompt cash payment at this facility.

Insurance Median

$184

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: $184 (207%)

Insurance Median: $184 (207%)

Cash: $184 (207% of Medicare)

Ins. Median: $184 (207% 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 207% of the Medicare baseline (a markup of 107%). 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	$55 - $296	62%
UnitedHealthcare	$120 - $184	135%
Aetna	$174 - $348	196%
Health Choice - All Plans	$180	202%
Global Health Mcr Adv	$184	207%
Humana	$184 - $348	207%
Wellcare Mcr Adv - All Plans	$184	207%
Ambetter / Centene	$240	270%
Community Care Comm Ip/Op Only - All Plans	$278	313%
Preferred Comm Ppo - All Plans	$278	313%
Global Health Ip/Op Only - All Other Plans	$296	333%
First Health - All Plans	$313	352%
Multiplan - All Plans	$320	360%
Soonerselect Mcaid - All Plans	$348	391%

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 $184.
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 Carnegie Tri-County Municipal 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.