CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Hospital San Francisco

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $17
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Hospital San Francisco is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.19x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$18

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: $18 (20%)
Insurance Median: $17 (19%)
Cash: $18 (20% 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
Mso $8 - $19 9%
Acaa $9 10%
First Medical $9 - $10 10%
Mc $10 11%
Western Medical Hospice $10 11%
Humana $11 - $19 12%
Triple S $11 - $24 12%
Mcs $12 - $18 13%
Plan De Salud Menonita $12 - $18 13%
Aarp $14 16%
Cigna $14 16%
Mapfre $14 16%
Auxilio Platino $17 19%
Comerciales $17 19%
Fondo Del Seguro Estado $17 19%
Pr Other Insurances $17 19%
Medicaid / KanCare $18 20%
Prossam $18 20%
Medicare (plans) $19 21%
Tricare $19 21%
Va $23 26%
Ch $27 30%
Mpc - Us $27 30%
UnitedHealthcare $27 30%
Us $27 30%
Corvel Network $32 36%
Mpc-Pr Other Insurances $32 36%
Bl $35 39%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals