CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Mid-Columbia Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $104
  • Cash Discount Price: $132
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Mid-Columbia Medical Center is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.17x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$132

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $132 (148%)
Insurance Median: $104 (117%)
Cash: $132 (148% of Medicare)
Ins. Median: $104 (117% 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 $10 - $1,453 11%
Community Hp Mcr Adv - All Plans $10 - $104 11%
Healthnet Mcr Adv $10 - $106 11%
Molina Mcr Adv $10 - $104 11%
Tricare $10 - $104 11%
Va Ccn Triwest - All Plans $10 - $104 11%
Devoted Mcr Adv - All Plans $11 - $492 12%
Employee Health Plan - All Plans $11 - $186 12%
Humana $11 - $109 12%
Moda Mcr Adv $11 - $104 12%
Molina - All Other Plans $11 - $114 12%
Aetna $12 - $421 13%
Healthnet - All Other Plans $15 17%
Cigna $17 - $429 19%
Multiplan/Phcs - All Plans $17 - $433 19%
Coventry - All Plans $20 - $410 22%
First Choice - All Plans $20 - $433 22%
Providence Ppo - All Plans $21 - $433 24%
Moda Health Plan - All Other Plans $22 - $301 25%
Molina Mcaid $48 - $237 54%
Amerigroup Mcaid - All Plans $93 - $237 105%
Coordinated Care Mcaid - All Plans $93 - $237 105%
Norocor - All Plans $228 256%
UnitedHealthcare $237 - $433 267%
Healthscape - All Plans $365 411%
First Health - All Plans $406 457%
Pacific Source - All Plans $419 471%
Trpn - Three Rivers - All Plans $433 487%
Ahp - Americas Hlth Plan - All Plans $442 497%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals