CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Carrollton Regional Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $87
  • Cash Discount Price: $261
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Carrollton Regional Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $261. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.98x the Medicare baseline. Located in 4343 North Josey Lane, Carrollton, TX.
Cash / Self-Pay
$261

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $261 (294%)
Insurance Median: $87 (98%)
Cash: $261 (294% of Medicare)
Ins. Median: $87 (98% 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
Aetna $27 - $131 30%
Amerigroup $40 - $87 45%
Blue Cross Blue Shield $40 - $267 45%
Cigna $40 45%
Medicaid / KanCare $40 - $41 45%
Molina $40 - $90 45%
Superior $40 - $131 45%
Superior_Chip $40 45%
Uhc_Chip $40 45%
Uhc_Star $40 45%
Uhc_Star_Plus $40 45%
UnitedHealthcare $40 - $300 45%
Humana $79 - $87 89%
Medicare (plans) $87 98%
Scott_And_White $87 98%
Molina_Star_Plus $90 101%
Molina_Health_Insurance_Marketplace $114 128%
Scott_And_White_Epo $217 244%
Scott_And_White_Hmo $217 244%
Scott_And_White_Ppo $217 244%
Scott_And_White_Swhp $217 244%
Phcs $326 367%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4343 North Josey Lane, Carrollton, TX 75010
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals