CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Cook Childrens Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $284
Cash Discount Price: $474
vs. Medicare Baseline: 3.19x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Cook Childrens Medical Center is $284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $474. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.19x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$474

Average discount available for prompt cash payment at this facility.

Insurance Median

$284

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: $474 (533%)

Insurance Median: $284 (319%)

Cash: $474 (533% of Medicare)

Ins. Median: $284 (319% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 319% of the Medicare baseline (a markup of 219%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Beacon	$30 - $214	34%
Firstcare	$30 - $713	34%
Health Plan W/O Uhrip	$30 - $214	34%
Rightcare	$42 - $298	47%
Molina	$46 - $330	52%
Health Plan W. Uhrip	$47 - $339	53%
El Paso Health First	$55 - $392	62%
Tx Children Health	$55 - $392	62%
Aetna	$62 - $445	70%
UnitedHealthcare	$72 - $757	81%
Blue Cross Blue Shield	$94 - $748	106%
S&W Health	$104 - $748	117%
Cigna	$106 - $757	119%
Healthscope	$106 - $757	119%
Imagine Health	$106 - $757	119%
Humana	$108 - $784	121%
Multiplan	$108 - $775	121%
First Health	$109 - $784	123%
Galaxy Health	$112 - $802	126%
Usamco	$114 - $820	128%

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 $474.
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 Cook Childrens Medical Center 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.