CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Medical Center of McKinney

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $142
Cash Discount Price: $1,716
vs. Medicare Baseline: 1.60x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Medical Center of McKinney is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,716. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.60x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.

Cash / Self-Pay

$1,716

Average discount available for prompt cash payment at this facility.

Insurance Median

$142

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: $1,716 (1930%)

Insurance Median: $142 (160%)

Cash: $1,716 (1930% of Medicare)

Ins. Median: $142 (160% 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
Amerigroup	$40	45%
Parkland Community Health Plan	$40	45%
United	$40 - $321	45%
Cigna	$42 - $1,373	47%
Aetna	$43 - $1,247	48%
Molina	$44 - $45	49%
Humana	$50 - $1,115	56%
Blue Cross Blue Shield	$95 - $762	107%
Superior Health Plan	$120	135%
Healthcare Highways	$420 - $580	472%
Evry Health	$443	498%
Unicare	$446 - $1,716	502%
City Of Mckinney	$601	676%
Curative Administrators	$686	772%
Fidelis Securecare	$772	868%
National Choicecare	$858	965%
Pc Texas Partners	$944	1062%
Physicians Coop Of Tx	$944	1062%
Rockport Health Group	$944	1062%
Averde Health, Inc	$995	1119%
Magellan Bh	$1,030	1158%
Value Options Behavioral Health	$1,030	1158%
Coastal Comp Health Networks	$1,201	1351%
Mega Life	$1,201	1351%
Multiplan Phcs	$1,201	1351%
Lewisville Isd/Dls Consulting	$1,287	1448%
Compsych Corporation	$1,373	1544%
Healthsmart Preferred Care	$1,373	1544%
Usa Managed Care	$1,373	1544%
Galaxy Health Network	$1,459	1641%
Independent Medical Systems	$1,716	1930%
National Healthcare Solutions	$1,716	1930%

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 $1,716.
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 Medical Center of McKinney 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.