CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: De Tar Hospital Navarro

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $89
  • Cash Discount Price: $751
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at De Tar Hospital Navarro is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $751. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.00x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$751

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

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: $751 (845%)
Insurance Median: $89 (100%)
Cash: $751 (845% of Medicare)
Ins. Median: $89 (100% 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
Medicaid / KanCare $40 - $131 45%
Scott & White $40 45%
UnitedHealthcare $40 - $840 45%
Blue Cross Blue Shield $41 - $616 46%
Superior $42 - $177 47%
Tricare $75 - $87 84%
Humana $77 - $86 87%
Medicare (plans) $77 - $86 87%
Department Of Veterans Affairs $79 - $87 89%
Node Hospice Non Par Agree $79 - $87 89%
Node Triwest $79 - $87 89%
Node Va $79 - $87 89%
Aetna $80 - $1,680 90%
American Health Mcr Adv $81 - $89 91%
Node Amerigroup Mcr Adv $81 - $90 91%
Node Procare Mcr Adv $81 - $90 91%
Provider Partners Health Plan $81 - $90 91%
Veterans Eval Services $83 93%
Industrial Rehab $90 - $101 101%
Amerigroup $94 106%
Node Us Dept Of Labor $98 - $109 110%
Node Brookshire Brothers $138 - $153 155%
Node Brookshire Brothers Work Comp Tx $146 - $163 164%
Work Comp $157 - $175 177%
Elap $173 - $192 195%
Dars $678 763%
Tx Workforce Commission $678 763%
Cigna $701 - $1,267 788%
Healthsmart $1,621 - $2,063 1823%
Multiplan $1,916 - $2,358 2155%
First Health $2,004 2254%
Medcorp Southwest Inc $2,063 2320%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals