CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Medical City Green Oaks Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $320
Cash Discount Price: $533
vs. Medicare Baseline: 3.60x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Medical City Green Oaks Hospital is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $533. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.60x the Medicare baseline. Located in 7808 Clodus Fields Drive, Dallas, TX.

Cash / Self-Pay

$533

Average discount available for prompt cash payment at this facility.

Insurance Median

$320

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: $533 (599%)

Insurance Median: $320 (360%)

Cash: $533 (599% of Medicare)

Ins. Median: $320 (360% 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 360% of the Medicare baseline (a markup of 260%). 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
Superior Health Plan	$37	42%
Humana	$88 - $346	99%
Healthcare Highways	$131 - $180	147%
Evry Health	$137	154%
City Of Mckinney	$240	270%
Pc Texas Partners	$293	330%
Physicians Coop Of Tx	$293	330%
Averde Health, Inc	$309	348%
Aetna	$320 - $376	360%
Magellan Bh	$320	360%
Value Options Behavioral Health	$320	360%
Usa Managed Care	$346	389%
Coastal Comp Health Networks	$373	420%
Cigna	$426	479%
Compsych Corporation	$426	479%
Galaxy Health Network	$453	510%
Three Rivers Provider Network	$480	540%
Independent Medical Systems	$533	599%
National Healthcare Solutions	$533	599%

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 $533.
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 Medical City Green Oaks 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.