CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Bella Vista Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $17
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Bella Vista Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.19x the Medicare baseline. Located in Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $84 (94%)
Insurance Median: $17 (19%)
Cash: $84 (94% of Medicare)
Ins. Median: $17 (19% 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
Acaa $7 - $12 8%
Asociacion Maestros (Prossam) $8 - $14 9%
International Medical Card $10 11%
Servicios De Salud Bella Vista $10 11%
Mcs $12 - $18 13%
Medicare (plans) $12 - $65 13%
Mapfre Life Insurance Life Insurance $14 - $20 16%
Triple S Vital $15 17%
Triple S $16 18%
Fondo Del Seguro Del Estado $17 - $26 19%
Plan Salud Menonita Vital $17 - $21 19%
First Medical Vital $20 22%
Plan Salud Menonita $24 27%
Champva $29 33%
Tricare $29 33%
UnitedHealthcare $29 33%
Preferred Medical Choice(Pmc) $65 73%
Triple S Advantage $66 74%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR 00681
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals