CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Comanche County Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $58
  • Cash Discount Price: $101
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Comanche County Medical Center is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.65x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.
Cash / Self-Pay
$101

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $101 (114%)
Insurance Median: $58 (65%)
Cash: $101 (114% of Medicare)
Ins. Median: $58 (65% 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
Swhp Comm - All Other Plans $9 - $455 10%
Blue Cross Blue Shield $10 - $61 11%
Choicecare Comm - All Other Plans $10 - $102 11%
Choicecare Mcr Adv $10 - $102 11%
Humana $10 - $193 11%
Molina Mcr Adv - All Other Plans $10 - $102 11%
Pphp Mcr Adv - All Plans $10 - $102 11%
Superior Epo/Hmo - All Plans $10 - $102 11%
Swhp Mcr Adv $10 - $102 11%
Wellmed Mcr Adv - All Plans $10 - $102 11%
Aetna $11 - $174 12%
First Care Hmo - All Other Plans $11 - $235 12%
First Care Hmo Self Funded $11 - $235 12%
Occunet - All Plans $13 - $207 15%
Alliance Wc - All Plans $15 - $153 17%
Cigna $23 - $179 26%
Molina Mcaid $35 - $174 39%
Swhp Mcaid $35 - $174 39%
Mpi - All Plans $248 279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10201 Hwy 16, Comanche, TX 76442
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals