CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: McKenzie-Willamette Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $307
Cash Discount Price: $445
vs. Medicare Baseline: 3.45x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at McKenzie-Willamette Medical Center is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $445. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.45x the Medicare baseline. Located in 1460 G Street, Springfield, OR.

Cash / Self-Pay

$445

Average discount available for prompt cash payment at this facility.

Insurance Median

$307

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: $445 (501%)

Insurance Median: $307 (345%)

Cash: $445 (501% of Medicare)

Ins. Median: $307 (345% 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 345% of the Medicare baseline (a markup of 245%). 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
Pacificsource Hlthier Or	$76	85%
Pacificsource Mcaid	$76	85%
Trillium Mcaid-All Plans	$76	85%
Healthnet Mcd	$83	93%
Kaiser Mcr Adv	$97	109%
Healthnet Mcr Adv	$102	115%
Kaiser Mcaid	$167	188%
Providence Hp Pebb	$194	218%
Blue Cross Blue Shield	$243	273%
Pacificsource Individual	$371	417%
Healthnet Comm - All Other Plans	$380	427%
Pacificsource Non-Individ	$482	542%
Providence Hp - All Other Plans	$482	542%
Pacificsource Psn/Voyager - All Other Plans	$497	559%
Cigna	$514	578%
Aetna	$593	667%
UnitedHealthcare	$593	667%
Kaiser Comm - All Other Plans	$2,003	2253%

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 $445.
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 McKenzie-Willamette 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.