CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: North Austin Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $114
  • Cash Discount Price: $439
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at North Austin Medical Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $439. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.28x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$439

Average discount available for prompt cash payment at this facility.

Insurance Median
$114

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: $439 (494%)
Insurance Median: $114 (128%)
Cash: $439 (494% of Medicare)
Ins. Median: $114 (128% 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
Superior Health Plan $6 - $128 7%
Amerigroup $26 29%
Moda $29 - $177 33%
United $31 - $339 35%
Covenant Management Systems $36 - $217 40%
Healthcare Highways $36 - $226 40%
Blue Cross Blue Shield $37 - $244 42%
Imo Med - Select Network $38 - $226 43%
Nomi Health $40 - $279 45%
St David’S Hospice $40 45%
Molina Healthcare $44 49%
Moda Health $45 - $279 51%
Evry Health $46 - $277 52%
Texas Healthcare Foundation Heb $46 - $279 52%
Texas Workforce Commission $49 - $294 55%
Aetna $50 - $274 56%
Curative Administrators $50 - $301 56%
Harbor Health Team $50 - $301 56%
Humana $50 56%
Sendero $50 56%
Averde Health $56 - $339 63%
UnitedHealthcare $56 - $339 63%
Comanche County $62 - $376 70%
National Choicecare $62 - $376 70%
Healthsmart Preferred Care $69 - $602 78%
Independent Medical Systems $69 - $414 78%
Physicians Cooperative Of Texas $69 - $414 78%
Prime Health $75 - $452 84%
First Health $78 - $535 88%
Coastal Comp Health Networks $81 - $489 91%
National Health Care $81 - $489 91%
Texas Municipal League $88 - $527 99%
Medcorp Southwest $94 - $565 106%
Rockport Healthcare Group $100 - $678 112%
Cigna $107 - $136 120%
Bce Emergis Corporation $112 - $678 126%
Beech Street $112 - $678 126%
Medical Control Network Solutions $112 - $678 126%
Multiplan $112 - $678 126%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals