CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Blount Memorial Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $128
Cash Discount Price: $111
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Blount Memorial Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.44x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $111 (125%)

Insurance Median: $128 (144%)

Cash: $111 (125% of Medicare)

Ins. Median: $128 (144% 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.

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
UnitedHealthcare	$21 - $180	24%
Medicaid / KanCare	$23 - $72	26%
Blue Cross Blue Shield	$82 - $85	92%
Humana	$82	92%
Medicare (plans)	$82 - $85	92%
Tricare	$82	92%
Prisma Health Seniorcare Pace - Midlands [5400]	$83	93%
Prisma Health Seniorcare Pace-Upstate [5200]	$83	93%
Cigna	$85 - $178	96%
Mvp Health Care [3037]	$124	139%
Promise Health Plan Contracted [2401]	$125 - $214	141%
Ambetter / Centene	$128	144%
Orangeburg Senior Helping Center Pace [5401]	$143	161%
Golden Rule Insurance Company [2991]	$180	202%
Oxford Health Plans [2992]	$180	202%
Consociate Health Contracted [4835]	$182	205%
Fairos/Occunet Contracted [4837]	$190	214%
Preferred Administrators Contracted [2839]	$250	281%
Bob Jones Univ-Pai [821]	$257	289%
Medcost [2940]	$264 - $296	297%
Atlantic Packaging Contracted [4833]	$268	301%
Aps Healthcare System [2981]	$286	322%
Multiplan/Phcs Contracted [2950]	$318	358%
Aetna	$321	361%
Meritain Health Contracted [2200]	$321	361%
Nippon [2300]	$321	361%
Vsp Vision Care [2986]	$321	361%
First Health Contracted [2952]	$332	373%
Furman Int/Allen University Student [2951]	$332	373%
Quiktrip-First Health [3067]	$332	373%

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 $111.
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 Blount Memorial 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.