CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Southern Coos Hospital & Health Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $217
Cash Discount Price: $187
vs. Medicare Baseline: 2.44x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Southern Coos Hospital & Health Center is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.44x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$187

Average discount available for prompt cash payment at this facility.

Insurance Median

$217

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: $187 (210%)

Insurance Median: $217 (244%)

Cash: $187 (210% of Medicare)

Ins. Median: $217 (244% 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 244% of the Medicare baseline (a markup of 144%). 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
Blue Cross Blue Shield	$19 - $306	21%
Cigna	$19 - $260	21%
Moda Health Plan - All Other Plans	$19 - $293	21%
Providence Preferred - All Plans	$21 - $312	24%
Tricare	$40 - $191	45%
Aetna	$46 - $296	52%
Atrio Mcr Adv - Allplans	$46 - $217	52%
Confederated Tribes - All Plans	$46 - $217	52%
Moda Mcr Adv	$46 - $217	52%
Pacific Source Mcr Adv	$46 - $217	52%
Advanced Health - All Plans	$207	233%
Healthnet - All Plans	$273	307%
Prov Netwrk Of America - All Plans	$296	333%
Three Rivers - All Plans	$296	333%
UnitedHealthcare	$296	333%
First Choice - All Plans	$303	341%
Multiplan - All Plans	$306	344%
First Health - All Plans	$312	351%
Pacific Source - All Other Plans	$312	351%

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 $187.
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 Southern Coos Hospital & Health 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.