CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Primary Children's Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $177
  • Cash Discount Price: $187
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Primary Children's Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.99x the Medicare baseline. Located in 100 North Mario Capecchi Drive, Salt Lake City, UT.
Cash / Self-Pay
$187

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

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: $187 (210%)
Insurance Median: $177 (199%)
Cash: $187 (210% of Medicare)
Ins. Median: $177 (199% 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
American Health $11 - $142 12%
Health Plan Of Nevada $11 - $43 12%
Healthy U $11 - $51 12%
Molina $11 - $209 12%
Selecthealth $11 - $209 12%
Southwest Behavioral Health $11 - $83 12%
UnitedHealthcare $11 - $209 12%
Tricare $84 94%
Triwest $84 94%
Donor Connect $90 - $99 101%
Aetna $177 - $212 199%
Awh Connected $177 - $212 199%
Byu Athletics $177 - $209 199%
Campbell Scientific $177 - $209 199%
Cigna $177 - $209 199%
Deseret Mutual $177 - $209 199%
Emi $177 - $209 199%
Emi Health $177 - $209 199%
First Choice $177 - $209 199%
First Choice Of The Midwest $177 - $209 199%
Franklin County $177 - $209 199%
Global Excel $177 - $209 199%
Health Utah $177 - $209 199%
Humana $177 - $209 199%
Hygeia Corporation $177 - $209 199%
Ifit $177 - $209 199%
Juniper Systems $177 - $209 199%
Lw Miller $177 - $209 199%
Managed Care Admin $177 - $209 199%
Medcare International $177 - $209 199%
Motivhealth $177 - $209 199%
Pehp $177 - $209 199%
Prodegi Corp Benefit $177 - $209 199%
Tanner Llc $177 - $209 199%
Uofu $177 - $209 199%
Utah Tech $177 - $209 199%
Wise Network $177 - $209 199%
First Health $179 - $212 201%
Blue Cross Blue Shield $182 - $214 205%
Springtide $182 - $214 205%
Utah Behavioral Health Network $202 227%
Altius Mhnet Behavioral Health $219 246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 North Mario Capecchi Drive, Salt Lake City, UT 84113
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens