CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Curry General Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $447
Cash Discount Price: $470
vs. Medicare Baseline: 5.03x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Curry General Hospital is $447. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $470. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.03x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$470

Average discount available for prompt cash payment at this facility.

Insurance Median

$447

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: $470 (529%)

Insurance Median: $447 (503%)

Cash: $470 (529% of Medicare)

Ins. Median: $447 (503% 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 503% of the Medicare baseline (a markup of 403%). 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	$32 - $470	36%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$36	40%
First Choice Health Admin [1294]	$117	132%
First Choice [528]	$117	132%
Tricare	$146	164%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$204	229%
Medicare (plans)	$204 - $306	229%
Medicaid / KanCare	$296 - $306	333%
Department Of Corrections [1051]	$306	344%
Coordinated Care Commercial [1649]	$400	450%
Pacificsource [1148]	$400	450%
Moda [512]	$403 - $423	453%
Multiplan [1131]	$428	481%
Asuris [1258]	$446	502%
Operating Engineers [1144]	$446	502%
Regence [1351]	$446 - $470	502%
Cigna	$461 - $470	519%
Coventry First Health Managed Care [1774]	$461	519%
Coventry Health [1046]	$461	519%
Providence Health Plan Plm Alt [1692]	$461	519%
Providence Health Plan [567]	$461	519%
Aetna	$470	529%
Employee Bene Admin Mgmt [525]	$470	529%
Geha [531]	$470	529%
Mailhandlers Benefit Pln [547]	$470	529%
Meritain [550]	$470	529%
Nw Sheet Metal Workers [597]	$470	529%
Trustmark [524]	$470	529%
UnitedHealthcare	$470	529%
Zenith Administrators [586]	$470	529%
Allcare Alt [2598]	$1,500	1687%
Allcare [1695]	$1,500	1687%

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 $470.
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 Curry General Hospital 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.