CMS Price Transparency Data
X-ray, neck (cervical spine)
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 72040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72040
- Insurance Median: $10
- Cash Discount Price: $261
- vs. Medicare Baseline: 0.11x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Saint Alphonsus Medical Center Ontario is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $261. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.11x the Medicare baseline. Located in 351 Sw 9Th Street, Ontario, OR.
Cash / Self-Pay
$261
Average discount available for prompt cash payment at this facility.
Insurance Median
$10
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: $261 (294%)
Insurance Median: $10 (11%)
Cash: $261 (294% of Medicare)
Ins. Median: $10 (11% 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 |
|---|---|---|
| Medicaid / KanCare | $7 - $121 | 8% |
| Oregon Screenwise | $8 - $121 | 9% |
| Aetna | $9 - $381 | 10% |
| Ambetter / Centene | $9 - $121 | 10% |
| Amish Mennonite | $9 - $121 | 10% |
| Bcccp-Michigan | $9 - $121 | 10% |
| Bccp | $9 - $121 | 10% |
| Blue Cross Blue Shield | $9 - $342 | 10% |
| Bmc Healthnet | $9 - $121 | 10% |
| Breast Grant-Connecticut | $9 - $121 | 10% |
| California Health And Wellness | $9 - $121 | 10% |
| Cardinal Innovations Lme | $9 - $121 | 10% |
| Care Oregon Ohp | $9 - $121 | 10% |
| Cencal Health Plan | $9 - $121 | 10% |
| Cenpatico | $9 - $121 | 10% |
| Chhuny | $9 - $121 | 10% |
| Childrens Comm Health Plan | $9 - $121 | 10% |
| Childrens Medical Services Title 19 | $9 - $121 | 10% |
| Cigna | $9 - $378 | 10% |
| Community Benefit Health | $9 - $121 | 10% |
| Community Care Behavorial Health | $9 - $121 | 10% |
| Community Health Choice | $9 - $121 | 10% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $9 - $121 | 10% |
| Dean Wi Badgercare | $9 - $121 | 10% |
| Delaware First Health | $9 - $121 | 10% |
| Delta Dental Nj | $9 - $121 | 10% |
| Dph Tb Program | $9 - $121 | 10% |
| Dscc | $9 - $121 | 10% |
| Eastpointe Lme | $9 - $121 | 10% |
| Family Health Network | $9 - $121 | 10% |
| Freedom First Healthcare | $9 - $121 | 10% |
| Ghc Scw Wi Badgercare | $9 - $121 | 10% |
| Harbor Health | $9 - $121 | 10% |
| Health Safety Net | $9 - $121 | 10% |
| Healthy Blue Ne | $9 - $121 | 10% |
| Hennepin Health | $9 - $121 | 10% |
| Humana | $9 - $354 | 10% |
| Idaho Womens Health Check | $9 - $121 | 10% |
| Indiana Breast Cervical Cancer | $9 - $121 | 10% |
| Inland Empire Health Plan | $9 - $121 | 10% |
| Intercommunity Health Ohp | $9 - $121 | 10% |
| Iowa Total Care | $9 - $121 | 10% |
| Jai Medical System | $9 - $121 | 10% |
| Kern Family Health Plan | $9 - $121 | 10% |
| Keystone First | $9 - $121 | 10% |
| Keystone First Chip | $9 - $121 | 10% |
| La Care Health Plan | $9 - $121 | 10% |
| Lakeland Care Inc | $9 - $121 | 10% |
| Managed Health Services - Indiana | $9 - $121 | 10% |
| Maryland Breast & Cervical Program | $9 - $121 | 10% |
| Maryland Healthy Smiles - Scion Dental | $9 - $121 | 10% |
| Maryland Physicians Care | $9 - $121 | 10% |
| Massachusetts Behavioral Health Partnership | $9 - $121 | 10% |
| Mdwise | $9 - $121 | 10% |
| Medi-Cal | $9 - $121 | 10% |
| Medi-Cal Healthnet | $9 - $121 | 10% |
| Medstar Dc Healthy Family | $9 - $121 | 10% |
| Medstar Md Health Choice | $9 - $121 | 10% |
| Mo Home State Health Plan | $9 - $121 | 10% |
| Molina Centennial Care | $9 - $121 | 10% |
| Nascentia Health Options | $9 - $121 | 10% |
| Nebraska Total Care | $9 - $121 | 10% |
| New York Cancer Services Program | $9 - $121 | 10% |
| Nextlevel Health | $9 - $121 | 10% |
| Pace Of Southwest Michigan | $9 - $121 | 10% |
| Paramount Advantage | $9 - $121 | 10% |
| Parkland Community Health Plan | $9 - $121 | 10% |
| Partners Behavioral Lme | $9 - $121 | 10% |
| Peach State Healthplan | $9 - $121 | 10% |
| Presbyterian Centennial Care | $9 - $121 | 10% |
| Prestige Health Choice | $9 - $121 | 10% |
| Priority Partners | $9 - $121 | 10% |
| Rx 340B Pass Along | $9 - $121 | 10% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $9 - $121 | 10% |
| Rx Medi-Cal | $9 - $121 | 10% |
| Rx Meridian Rx | $9 - $121 | 10% |
| Sandhills Center Lme | $9 - $121 | 10% |
| Screening For Life | $9 - $121 | 10% |
| Sunshine State Health Plan | $9 - $121 | 10% |
| Superior Health | $9 - $121 | 10% |
| Tenncare | $9 - $121 | 10% |
| Texas Children'S Health Plan | $9 - $121 | 10% |
| Trillium Community Ohp | $9 - $121 | 10% |
| Tufts Health Public Plans | $9 - $121 | 10% |
| UnitedHealthcare | $9 - $386 | 10% |
| Vaya Health Lme | $9 - $121 | 10% |
| Wellsense Health Plan | $9 - $121 | 10% |
| Wi Womens Wellness | $9 - $121 | 10% |
| Align Senior Care | $10 | 11% |
| Ally Align Care Adv | $10 | 11% |
| American Health Advantage Of Idaho | $10 - $106 | 11% |
| American Health Plan | $10 | 11% |
| Aurora Special Needs | $10 | 11% |
| Blue Care Network Advantage | $10 | 11% |
| Blue Shield - De (Highmark) Medciare Advantage | $10 | 11% |
| Care Dimensions | $10 | 11% |
| Care Improvement Plus | $10 | 11% |
| Care Resources Pace | $10 | 11% |
| Careplus Health Plans | $10 | 11% |
| Cca - Zing Health | $10 | 11% |
| Cca Senior Care Options | $10 | 11% |
| Central Valley Medical Services Corp Pace | $10 | 11% |
| Champion Health Plan Mcr Advantage | $10 | 11% |
| Clear Spring Health | $10 | 11% |
| Clover Health | $10 | 11% |
| Commonwealth Care Alliance | $10 | 11% |
| Community Pace At Home | $10 | 11% |
| Eddy Senior Care-Pace | $10 | 11% |
| Eddy Seniorcare Pace | $10 | 11% |
| Elementcare | $10 | 11% |
| Evercare | $10 | 11% |
| Everence | $10 | 11% |
| Gateway Health Plan | $10 | 11% |
| Genesys Pace Of Genesee County | $10 | 11% |
| Georgia Health Advantage | $10 | 11% |
| Gold Advantage | $10 | 11% |
| Gpa Croell Redi Mix | $10 | 11% |
| Health America Advantra | $10 | 11% |
| Highmark Health Options Dual Plan | $10 | 11% |
| Hope Select Pace | $10 | 11% |
| Horizon Nj Total Care | $10 | 11% |
| Hudson Headwaters Pace | $10 | 11% |
| Huron Valley Pace | $10 | 11% |
| Innovative Integrated Health Community Plans | $10 | 11% |
| Iowa Health Advantage | $10 | 11% |
| Johns Hopkins Advantage Md | $10 | 11% |
| Lasso Healthcare Msa | $10 | 11% |
| Life St Marys Pace | $10 | 11% |
| Lifecircles Pace | $10 | 11% |
| Longevity Health Plan | $10 | 11% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $10 | 11% |
| Martins Point Generations Advantage | $10 | 11% |
| Mass General Brigham Mcr Adv | $10 | 11% |
| Medicare (plans) | $10 - $109 | 11% |
| Medipak Advantage | $10 | 11% |
| Mercy Life | $10 | 11% |
| Mercyone Cedar Valley | $10 | 11% |
| Meridian Complete | $10 | 11% |
| Michigan Complete Health | $10 | 11% |
| Nascentia Health Plus | $10 | 11% |
| New Centry Health Careplus | $10 | 11% |
| Osu Prime Care Advantage | $10 | 11% |
| Pace Cny | $10 | 11% |
| Pace Iowa Immanuel Pathways | $10 | 11% |
| Pace Southeast | $10 | 11% |
| Pace-Trinity Health | $10 | 11% |
| Peak Pace Solutions | $10 | 11% |
| Perennial Advantage | $10 | 11% |
| Preferred Care Partners | $10 | 11% |
| Presbyterian Senior Plan | $10 | 11% |
| Provider Partners Health Plan Of Illinois | $10 | 11% |
| Provider Partners Health Plan Of Indiana | $10 | 11% |
| Pruitthealth Premier | $10 | 11% |
| Reliance Community Care Partners Care Resources Pace | $10 | 11% |
| Rx Allwin | $10 | 11% |
| Rx Grane Grnmedd | $10 | 11% |
| Rx Retiree Rx Care | $10 | 11% |
| Scan Health Plan Mcr Ipa Meritage Oon | $10 | 11% |
| Secure Horizons Ma Pffs | $10 | 11% |
| Serenity Pace | $10 | 11% |
| Siouxland Pace | $10 | 11% |
| Solis Health Plans | $10 | 11% |
| Sunnyview-Pace Finance Dept | $10 | 11% |
| Texan Plus | $10 | 11% |
| The Health Plan | $10 | 11% |
| Thome Pace | $10 | 11% |
| Todays Options | $10 | 11% |
| Tribute Health Plans | $10 | 11% |
| Um Health Advantage | $10 | 11% |
| Union Health Service | $10 | 11% |
| Welbe Health | $10 | 11% |
| Wellmed | $10 | 11% |
| Pacificsource Health Plans | $66 - $378 | 74% |
| Selecthealth | $93 - $362 | 105% |
| Ada County Jail Inmate Ins | $121 | 136% |
| Centurion Of Idaho | $121 | 136% |
| Id County Ada | $121 | 136% |
| Id County Canyon | $121 | 136% |
| Id County Cat Fund | $121 | 136% |
| Id County Payette | $121 | 136% |
| Moda Health | $201 - $390 | 226% |
| Healthcare Management Admin | $228 | 256% |
| Mountain Health Co-Op | $241 | 271% |
| Blue Benefit Administrators Of Massachusetts | $258 | 290% |
| Blue Care Network | $258 | 290% |
| Blue Distinction Transplant | $258 | 290% |
| Blue Shield - Ca | $258 | 290% |
| Blue Shield - Id (Regence) | $258 | 290% |
| Blue Shield - Ny Highmark Northeastern | $258 | 290% |
| Blue Shield - Ny Highmark Western | $258 | 290% |
| Blue Shield - Pa (Highmark) | $258 | 290% |
| Blue Shield - Wa (Regence) | $258 | 290% |
| Webtpa | $274 - $362 | 308% |
| Allegiance | $306 | 344% |
| Correctional Health Partners | $314 | 353% |
| Columbia Health Network | $322 | 362% |
| Healthnet | $338 | 380% |
| Allied National Global Care | $362 | 407% |
| Asrm - Reliance Standard Life Insurance | $362 | 407% |
| Christian Care Ministry | $362 | 407% |
| Dean Health | $362 | 407% |
| Fallon Health | $362 | 407% |
| Family Life Insurance Company | $362 | 407% |
| First Choice Health | $362 | 407% |
| Ghc Scw | $362 | 407% |
| International Benefit Administrators | $362 | 407% |
| Lifetime Benefit Solutions | $362 | 407% |
| Manhattan Life | $362 | 407% |
| Pai | $362 | 407% |
| Pan-American Life | $362 | 407% |
| Paramount Hmo | $362 | 407% |
| Phcs | $362 | 407% |
| Trinity Health Share | $362 | 407% |
| Lifewise | $374 | 421% |
| Priority Health | $378 | 425% |
| Allied Benefit Systems | $381 | 429% |
| Ameriben | $381 | 429% |
| Asr Health Benefits | $381 | 429% |
| Christian Brother Services | $381 | 429% |
| Geha | $381 - $386 | 429% |
| Healthez | $381 | 429% |
| Luminare Health (Detroit) | $381 | 429% |
| Rural Carrier Health Benefit Plan | $381 | 429% |
| First Health | $382 | 430% |
| Medi Share | $382 | 430% |
| Providence | $382 | 430% |