CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Knapp Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $87
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Knapp Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.98x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$86

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: $86 (97%)
Insurance Median: $87 (98%)
Cash: $86 (97% 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
Superior Health Plan $40 - $113 45%
UnitedHealthcare $40 - $87 45%
Molina $42 - $135 47%
Corvel $61 69%
Zelis Healthcare Fka Stratose $65 73%
Provider Network Of America $70 79%
Provider Select $76 85%
Blue Cross Blue Shield $77 - $288 87%
Medicaid / KanCare $77 - $79 87%
Three Rivers $78 88%
Cigna $79 - $90 89%
Americas Choice Provider Network (Acpn) $84 94%
Division Of Immigration Health $85 96%
Coventry (First Health) $87 98%
Medicare (plans) $87 98%
Prime Health Services $87 98%
Texas Bluebonnet Health Plan $87 - $144 98%
Tricare $87 98%
Veterans Evaluation Services $87 98%
Wellmed Aarp Ma Fka Physicians Health Choice $87 98%
Worker Comp $87 98%
Multiplan $91 102%
Provider Partners Health Plan $91 102%
Imperial Insurance Companies $92 103%
Texas Oncology Pa Op $109 123%
Frontier Health (Fka Asserta Health) $113 127%
Magic Valley Electric Cooperative $113 127%
Employer Direct Healthcare $122 137%
Corporate Remedies (Wc) $130 146%
Naphcare $135 152%
Occunet $152 171%
Baker Benefits Administrators $174 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals