CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Adventist Health Tillamook

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $167
  • Cash Discount Price: $122
  • vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Adventist Health Tillamook is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.88x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.
Cash / Self-Pay
$122

Average discount available for prompt cash payment at this facility.

Insurance Median
$167

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: $122 (137%)
Insurance Median: $167 (188%)
Cash: $122 (137% of Medicare)
Ins. Median: $167 (188% 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
Aetna $10 - $486 11%
Moda Health Plan - All Plans $10 - $246 11%
UnitedHealthcare $10 - $497 11%
Devoted Health $11 - $265 12%
Medicare (plans) $11 - $246 12%
Sterling Life - All Plans $11 - $256 12%
Blue Cross Blue Shield $12 - $455 13%
Hvhs Mcare - All Plans $12 - $248 13%
Pacificsource - All Plans $22 - $502 25%
Ods Health Plan - All Other Plans $24 - $507 27%
Lifewise - All Plans $67 - $472 75%
Ah Employee Health Plan - All Plans $70 - $492 79%
First Choice Health- All Plans $70 - $492 79%
Health Net - All Plans $70 - $492 79%
Providence Preferred - All Plans $73 - $513 82%
Workers Comp $74 - $523 83%
Cigna $135 - $497 152%
Phcs Preferred - All Plans $135 - $497 152%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Third Street, Tillamook, OR 97141
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals