CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Grand Strand Regional Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $200
Cash Discount Price: $1,082
vs. Medicare Baseline: 2.25x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Grand Strand Regional Medical Center is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,082. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.25x the Medicare baseline. Located in 809 82Nd Parkway, Myrtle Beach, SC.

Cash / Self-Pay

$1,082

Average discount available for prompt cash payment at this facility.

Insurance Median

$200

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: $1,082 (1217%)

Insurance Median: $200 (225%)

Cash: $1,082 (1217% of Medicare)

Ins. Median: $200 (225% 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 225% of the Medicare baseline (a markup of 125%). 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
Aetna	$22 - $113	25%
Group Health	$23	26%
Blue Choice	$39	44%
United	$39 - $487	44%
Select Health	$50	56%
Sc State Employees	$64	72%
Blue Choice Health Plan	$110	124%
Blue Cross Blue Shield	$110 - $1,028	124%
Absolute Total Care	$154 - $195	173%
Cigna	$171 - $349	192%
Nhc Advantage	$206	232%
Pruitt Health	$206	232%
Occunet	$541	608%
Medcost	$542 - $739	610%
Vocational Rehab	$584	657%
Employers Health Network	$595	669%
Evernorth	$866	974%
First Health	$893	1004%
Global Excel Management	$898	1010%
Humana	$920	1035%
Multiplan	$920	1035%
National Choicecare	$920	1035%
Prime Health	$920	1035%
Novanet	$974	1095%

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 $1,082.
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 Grand Strand Regional Medical 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.