CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Medical City Plano

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $130
Cash Discount Price: $1,133
vs. Medicare Baseline: 1.46x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Medical City Plano is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,133. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.46x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.

Cash / Self-Pay

$1,133

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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: $1,133 (1274%)

Insurance Median: $130 (146%)

Cash: $1,133 (1274% of Medicare)

Ins. Median: $130 (146% 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%
United	$40 - $197	45%
Cigna	$42 - $165	47%
Aetna	$43 - $685	48%
Molina	$44 - $45	49%
Parkland Community Health Plan	$44	49%
Humana	$50 - $88	56%
Superior Health Plan	$79	89%
Blue Cross Blue Shield	$95 - $503	107%
Healthcare Highways	$278 - $383	313%
Evry Health	$292	328%
Lifecare Hospitals	$340	382%
Curative Administrators	$453	510%
Prominence Health Plan	$453	510%
City Of Mckinney	$510	574%
Fidelis Securecare	$510	574%
National Choicecare	$566	637%
Pc Texas Partners	$623	701%
Physicians Coop Of Tx	$623	701%
Rockport Health Group	$623	701%
Averde Health, Inc	$657	739%
Texas Healthcare Foundation Wc	$736	828%
Coastal Comp Health Networks	$793	892%
Mega Life	$793	892%
Multiplan Phcs	$793	892%
Healthsmart Preferred Care	$850	956%
Lewisville Isd/Dls Consulting	$850	956%
Usa Managed Care	$906	1019%
Usc Health Services	$906	1019%
Galaxy Health Network	$963	1083%
Independent Medical Systems	$1,133	1274%
National Healthcare Solutions	$1,133	1274%
Unicare	$1,133	1274%

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 $1,133.
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 City Plano 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.