CMS Price Transparency Data
X-ray, neck (cervical spine)
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 72040 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$46
about 0.5× the $89 Medicare rate · typically $10–$80
modeled estimate · not a bill or quote
Medicare pays $89 Fair price $46 Hospital's list price $208
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $9 - $386 | 10% |
| Blue Cross Blue Shieldmajor | $9 - $342 | 10% |
| Aetnamajor | $9 - $381 | 10% |
| Cignamajor | $9 - $378 | 10% |
| Humanamajor | $9 - $354 | 10% |
| Ambetter (Centene) | $9 - $121 | 10% |
| Clover Health | $10 | 11% |
| Dean Health Plan | $362 | 407% |
| GEHA | $381 - $386 | 429% |
| Health Net | $9 - $338 | 10% |
| HealthPartners | $9 - $314 | 10% |
| Meridian | $9 - $121 | 10% |
| Moda Health | $201 - $390 | 226% |
| Molina | $9 - $121 | 10% |
| PacificSource | $66 - $378 | 74% |
| Paramount | $9 - $362 | 10% |
| Presbyterian | $9 - $121 | 10% |
| Priority Health | $378 | 425% |
| SelectHealth | $93 - $362 | 105% |
| Tufts Health Plan | $9 - $121 | 10% |
| WellMed | $10 | 11% |
| WellSense | $9 - $121 | 10% |
| + 168 smaller / regional plans | $8 - $382 |
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Saint Alphonsus Medical Center Ontario
Compare: X-ray, neck (cervical spine) at other OR hospitals
- Mid-Columbia Medical Center · The Dalles $21
- Good Samaritan Regional Medical Center · Corvallis $37
- Samaritan Albany General Hospital · Albany $37
- Samaritan North Lincoln Hospital · Lincoln City $37
- Samaritan Pacific Community Hospital · Newport $37
- Samaritan Lebanon Community Hospital · Lebanon $37
- Southern Coos Hospital & Health Center · Bandon $46
- Bay Area Hospital · Coos Bay $63
Insurance negotiated median for the same procedure, sorted lowest first.