CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Christus Santa Rosa Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $141
  • Cash Discount Price: $559
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Christus Santa Rosa Medical Center is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $559. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.59x the Medicare baseline. Located in 11212 State Hwy 151, San Antonio, TX.
Cash / Self-Pay
$559

Average discount available for prompt cash payment at this facility.

Insurance Median
$141

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: $559 (629%)
Insurance Median: $141 (159%)
Cash: $559 (629% of Medicare)
Ins. Median: $141 (159% 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
UnitedHealthcare $31 - $937 35%
Texas Healthspring $41 46%
Amerigroup $55 - $268 62%
Community First $55 - $268 62%
Humana $60 - $83 67%
Aetna $64 - $109 72%
Cigna $64 - $81 72%
Allwell $83 93%
Blue Cross Blue Shield $83 - $354 93%
Christus Health $83 - $116 93%
Coventry $83 93%
Molina $83 - $109 93%
Superior $83 - $109 93%
Triwest $83 93%
Wellcare $83 93%
Provider Partners Health Plan $85 96%
Texas Independence Health Plan $85 96%
Shared Health Insurance Company $87 98%
Us Imaging Network $88 99%
Devoted Health Plan $89 100%
Imperial Health Plan $91 102%
Medicare (plans) $91 102%
Procare Advantage $91 102%
Employer Direct $99 111%
Gilsbar Inc. $107 120%
Driscoll Children'S Health Plan $109 123%
El Paso First $109 123%
First Care $109 123%
Texas Childrens Health Plan $115 129%
Naphcare Inc. $165 186%
Community First Health Plan $200 - $981 225%
Healthcare Highways $205 - $1,004 231%
Christian Brothers Services $250 - $1,226 281%
First Health $296 - $1,450 333%
Healthsmart $296 - $1,784 333%
Multiplan $296 - $1,450 333%
Phcs $296 - $1,450 333%
Five Point Credit Union $318 - $1,561 358%
Medicus Internatiaonal $341 - $1,672 384%
Beech Street $364 - $1,784 409%
Health Management Network $364 - $1,784 409%
Provider Select $364 - $1,784 409%
National Choicecare $432 - $2,118 486%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11212 State Hwy 151, San Antonio, TX 78251
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals