CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: North Texas Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $87
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at North Texas Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.98x the Medicare baseline. Located in 1900 Hospital Blvd, Gainesville, TX.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $68 (76%)
Insurance Median: $87 (98%)
Cash: $68 (76% of Medicare)
Ins. Median: $87 (98% 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
Cigna $46 - $170 52%
Blue Cross Blue Shield $58 - $213 65%
First Health $70 - $255 79%
Healthcare Highways $70 - $255 79%
Aetna $72 - $264 81%
Multiplan $81 - $298 91%
90 Degree Benefits $87 98%
Humana $87 98%
Molina $87 - $95 98%
Prime Health $87 - $383 98%
Prominence Health $87 - $91 98%
Superior $87 - $95 98%
UnitedHealthcare $87 - $391 98%
Wellmed $87 98%
Wellpoint $87 98%
Providers Partners Health Plan $91 102%
Provider Select $99 - $361 111%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Hospital Blvd, Gainesville, TX 76240
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals