CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Freestone Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $241
  • Cash Discount Price: $438
  • vs. Medicare Baseline: 2.71x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Freestone Medical Center is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $438. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.71x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$438

Average discount available for prompt cash payment at this facility.

Insurance Median
$241

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: $438 (493%)
Insurance Median: $241 (271%)
Cash: $438 (493% of Medicare)
Ins. Median: $241 (271% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 271% of the Medicare baseline (a markup of 171%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aarp $56 63%
Apwu $56 63%
Fringe Benefits $56 63%
Geha $56 63%
Uhcss $56 63%
UnitedHealthcare $56 - $205 63%
Blue Cross Blue Shield $74 - $615 83%
Gilsbar $80 - $683 90%
Mcaid $109 - $143 123%
Misc Mcaid Hmo $109 - $205 123%
Superior Health Chip $109 - $143 123%
Tx Childrens Mcaid $109 - $143 123%
Amerigroup $130 - $205 146%
Medicaid / KanCare $130 - $316 146%
Rightcare S&W Mcaid $130 - $205 146%
Superior Health Mcd $130 - $316 146%
Cigna $342 - $410 385%
Misc Multiplan $399 - $478 449%
Misc Multiplan Auto $399 - $478 449%
Misc Multiplan Workcomp $399 - $478 449%
Self Pay Gt 083123 $399 - $478 449%
Self Pay Lt 090123 $399 - $478 449%
Aetna $456 - $546 513%
Aflac $570 - $683 641%
Bankers Life $570 - $683 641%
Fairview Nursing Home $570 - $683 641%
Humana $570 - $683 641%
Icare $570 - $683 641%
Inmate Freestone Co $570 - $683 641%
Misc Hospice $570 - $683 641%
Miscellaneous $570 - $683 641%
Miscellaneous Auto $570 - $683 641%
Mutual Of Omaha $570 - $683 641%
North American Med Empl $570 - $683 641%
Standard Life Insurance $570 - $683 641%
Tml $570 - $683 641%
Zelis Healthcare $570 - $683 641%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 125 Newman St, Fairfield, TX 75840
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals