CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Lewisgale Hospital Pulaski

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $1,251
Cash Discount Price: $2,085
vs. Medicare Baseline: 14.07x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Lewisgale Hospital Pulaski is $1,251. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,085. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 14.07x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$2,085

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,251

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: $2,085 (2345%)

Insurance Median: $1,251 (1407%)

Cash: $2,085 (2345% of Medicare)

Ins. Median: $1,251 (1407% 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 1407% of the Medicare baseline (a markup of 1307%). 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
Blue Cross Blue Shield	$36 - $159	40%
United	$182 - $938	205%
Lifeworks	$396	445%
Universal Healthcare Group	$459	516%
Virginia Health Network	$730 - $1,480	821%
Aetna	$938	1055%
Greenvbrier Sporting Club	$1,251	1407%
Corvel	$1,501	1688%
Richfield Nursing Center	$1,564	1759%
Richfield Retirement Community	$1,564	1759%
Multiplan	$1,605	1805%
Community Care Network	$1,668	1876%
Graham-White Manufacturing	$1,668	1876%
Occunet Workers Comp	$1,668	1876%
One Health Plan	$1,668	1876%
Patients Choice	$1,835	2064%
4Most	$1,876	2110%
American Postal Workers Union	$1,876	2110%
Phcs	$1,876	2110%
Star Transportation	$1,876	2110%

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 $2,085.
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 Lewisgale Hospital Pulaski 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.