CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Memorial Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $114
  • Cash Discount Price: $157
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Memorial Medical Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $157. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.28x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$157

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: $157 (177%)
Insurance Median: $114 (128%)
Cash: $157 (177% 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
Amerigroup Mcr Adv-All Other Plans $10 - $116 11%
Care Improvement Plus - All Other Plans $10 - $116 11%
Care Improvement Plus Mcr $10 - $117 11%
Superior Allwell Mcr Adv-All Other Plans $10 - $116 11%
Triwest Va Pccc-All Plans $10 - $114 11%
UnitedHealthcare $10 - $332 11%
Universal American Mcr-All Other Plans $10 - $116 11%
Ambetter / Centene $11 - $139 12%
Universal American Snp $11 - $122 12%
Coventry First Hlth Hmo Ppo-All Other Plans $13 - $332 15%
Coventry First Hlth Mcr Adv $13 - $116 15%
Capstar Health Network-All Plans $15 - $332 17%
Cigna $15 - $311 17%
Galaxy Health Network-All Plans $15 - $353 17%
Healthcare Highways-All Plans $22 - $332 25%
Prime Healthcare Services-All Plans $24 - $290 27%
Blue Cross Blue Shield $26 - $247 29%
Humana $27 - $332 30%
Corvel Work Comp-All Plans $29 - $353 33%
Independent Med Sys Ppo-All Plans $29 - $353 33%
Multiplan Mcr Adv $29 - $116 33%
Multiplan Phcs Ppo-All Other Plans $29 - $353 33%
Provider Select Ppo-All Plans $29 - $353 33%
Three Rivers Ppo-All Plans $29 - $353 33%
Usa Mso - All Plans $29 - $353 33%
Amerigroup Chip $34 - $199 38%
Amerigroup Star $34 - $199 38%
Amerigroup Star Kids $34 - $199 38%
Amerigroup Star Plus $34 - $199 38%
Comm Health Chip $34 - $199 38%
Comm Health Perinatal-All Other Plans $34 - $199 38%
Molina Chip/Star-All Plans $34 - $199 38%
Scott & White Chip/Star-All Plans $34 - $199 38%
Superior Chip/Star $34 - $199 38%
Texas Childrens Hp - All Plans $34 - $199 38%
Comm Health Mcaid Hmo $36 - $209 40%
Comm Health Star $36 - $209 40%
Aetna $332 373%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals