CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Medical City Lewisville

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $112
Cash Discount Price: $1,386
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Medical City Lewisville is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,386. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.

Cash / Self-Pay

$1,386

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $1,386 (1559%)

Insurance Median: $112 (126%)

Cash: $1,386 (1559% of Medicare)

Ins. Median: $112 (126% 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
Texas Health Network	$39	44%
Amerigroup	$40	45%
Cook Childrens Health Plan	$40	45%
Parkland Community Health Plan	$40	45%
United	$40 - $276	45%
Cigna	$42 - $194	47%
Aetna	$43 - $1,008	48%
Molina	$44 - $45	49%
Humana	$50 - $88	56%
Superior Health Plan	$97	109%
Blue Cross Blue Shield	$105 - $615	118%
Unicare	$333 - $1,386	375%
Healthcare Highways	$340 - $468	382%
Evry Health	$358	403%
Curative Administrators	$554	623%
City Of Mckinney	$624	702%
Fidelis Securecare	$624	702%
National Choicecare	$693	779%
Pc Texas Partners	$762	857%
Physicians Coop Of Tx	$762	857%
Rockport Health Group	$762	857%
Averde Health, Inc	$804	904%
Usc Health Services	$832	936%
Coastal Comp Health Networks	$970	1091%
Jostens	$970	1091%
Mega Life	$970	1091%
Multiplan Phcs	$970	1091%
Healthsmart Preferred Care	$1,040	1170%
Lewisville Isd/Dls Consulting	$1,040	1170%
Usa Managed Care	$1,109	1247%
Galaxy Health Network	$1,178	1325%
Independent Medical Systems	$1,386	1559%
National Healthcare Solutions	$1,386	1559%

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 $1,386.
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 Lewisville 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.