CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Medina Regional Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $146
Cash Discount Price: $316
vs. Medicare Baseline: 1.64x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Medina Regional Hospital is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $316. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.64x the Medicare baseline. Located in 3100 Avenue E, Hondo, TX.

Cash / Self-Pay

$316

Average discount available for prompt cash payment at this facility.

Insurance Median

$146

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: $316 (355%)

Insurance Median: $146 (164%)

Cash: $316 (355% of Medicare)

Ins. Median: $146 (164% 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
UnitedHealthcare	$84 - $264	94%
Superior Health Plan	$86 - $136	97%
Community First Health Plan	$105 - $352	118%
Aetna	$109 - $211	123%
Amerigroup	$109	123%
Amerivantage	$116	130%
Cigna	$141	159%
Curative	$152 - $211	171%
Blue Advantage	$176	198%
Blue Cross Blue Shield	$261	294%
Benefit Administrators	$352	396%

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 $316.
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 Medina Regional Hospital 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.