CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: PAM Rehabilitation Hospital of Corpus Christi

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $107
Cash Discount Price: $404
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at PAM Rehabilitation Hospital of Corpus Christi is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $404. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.20x the Medicare baseline. Located in 345 S Water St, Corpus Christi, TX.

Cash / Self-Pay

$404

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

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: $404 (454%)

Insurance Median: $107 (120%)

Cash: $404 (454% of Medicare)

Ins. Median: $107 (120% 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
Aetna	$20 - $85	22%
Driscoll Health Plan	$40	45%
Superior Health	$40	45%
Curative	$64	72%
Ambetter / Centene	$85	96%
Blue Cross Blue Shield	$85 - $92	96%
Christus Health Plan	$85	96%
Christus Spohn Health Network	$85 - $242	96%
Cigna	$85	96%
Ilumed Aco Reach	$85	96%
Imperial Insurance Of Texas	$85	96%
UnitedHealthcare	$85	96%
Wellcare Complete	$85	96%
Wellmed	$85	96%
Wellpoint (Amerigroup)	$85	96%
Texas Independence Health Plan	$90	101%
Velocity Provider Ppo Network	$102 - $303	115%
Prime Health Services	$111 - $343	125%
Ninety Degree Benefits	$128	144%
Sana Benefits	$128	144%
Healthcare Highways	$222	250%
America'S Choice Provider Network	$283	318%
Provider Network Of America	$303	341%
Quik Trip	$303	341%
Usa Managed Care Organization	$303	341%
Multiplan/Phcs	$323	363%

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 $404.
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 PAM Rehabilitation Hospital of Corpus Christi 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.