CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $258
Cash Discount Price: $219
vs. Medicare Baseline: 2.90x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Holy Cross Hospital - Salt Lake is $258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.90x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$219

Average discount available for prompt cash payment at this facility.

Insurance Median

$258

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: $219 (246%)

Insurance Median: $258 (290%)

Cash: $219 (246% of Medicare)

Ins. Median: $258 (290% 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 290% of the Medicare baseline (a markup of 190%). 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
Denver Health	$22	25%
Health Choice	$22	25%
Medicaid / KanCare	$22	25%
Rocky Mountain Health Plan	$22	25%
Uuhp	$22 - $132	25%
Humana	$26	29%
Medicare (plans)	$26	29%
Employer Direct Healthcare	$32	36%
Motivhealth	$34	38%
Molina	$60 - $235	67%
UnitedHealthcare	$71	80%
Blue Cross Blue Shield	$87 - $328	98%
Centura Employee Plan	$91	102%
Cigna	$92 - $437	103%
Pehp	$233 - $546	262%
Aetna	$241 - $462	271%
Wise	$284 - $290	319%
Deseret Mutual Benefit Administrators	$335	377%
Select Health	$362	407%
Multiplan	$377 - $497	424%
Emi Health	$546	614%

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 $219.
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 Holy Cross Hospital - Salt Lake 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.