CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: OHSU Hospital and Clinics

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $104
  • Cash Discount Price: $354
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at OHSU Hospital and Clinics is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $354. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.17x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.
Cash / Self-Pay
$354

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: $354 (398%)
Insurance Median: $104 (117%)
Cash: $354 (398% 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
Samaritan Health Plan $24 - $244 27%
Care Oregon $70 - $115 79%
Medicare (plans) $70 - $156 79%
Intercommunity Health Network $78 88%
Kaiser Foundation Hospitals $78 - $227 88%
Pacific Source $78 - $424 88%
Humana $88 - $104 99%
Trillium $88 - $98 99%
UnitedHealthcare $93 - $398 105%
Aetna $95 - $146 107%
Health Net Health Plan Of Oregon, Inc. $101 - $422 114%
Moda $103 - $340 116%
Community Health Plan Of Washington $105 - $137 118%
Providence Health Plan $106 - $130 119%
Tuality Health $176 198%
Blue Cross Blue Shield $297 334%
Cigna $304 342%
Coventry First Health $409 460%
First Choice $413 465%
Molina Exchange $545 613%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals