CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Ascension Saint Thomas Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $84
Cash Discount Price: $128
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Ascension Saint Thomas Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.94x the Medicare baseline. Located in 4220 Harding Rd, Po Box 380, Nashville, TN.

Cash / Self-Pay

$128

Average discount available for prompt cash payment at this facility.

Insurance Median

$84

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: $128 (144%)

Insurance Median: $84 (94%)

Cash: $128 (144% of Medicare)

Ins. Median: $84 (94% 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
Blue Cross Blue Shield	$17 - $89	19%
Cigna	$41 - $58	46%
Humana	$45 - $84	51%
Aetna	$56 - $111	63%
Point Comfort Underwriters	$76	85%
Amerigroup	$78	88%
Americhoice Mcr Replacement	$79 - $83	89%
Medicare (plans)	$79 - $89	89%
Tricare	$81	91%
Ascension Complete	$84	94%
Centurion Of Tn	$84	94%
Covid Uninsured Test Fund	$84	94%
Healthspring Mcr Replacement	$84	94%
Nhc Advantage	$84	94%
Triwest Va Pccc	$84	94%
UnitedHealthcare	$84 - $128	94%
Amerigroup Mcr Replacement	$87	98%
Select Specialty West	$105	118%
Ambetter / Centene	$110	124%
Oscar Health	$118	133%
Oscar Health Plan	$118	133%
Smart Health	$118	133%

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 $128.
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 Ascension Saint Thomas 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.